Individual provider Active NPI

Pragna R Jadav, MD

  • Internal Medicine Physician
  • Fort Knox, KY
National Provider Identifier
1487634176
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31766 Issued in KY
Practice address
289 Ireland Ave
Ireland Army Community Hospital
Fort Knox, KY 40121-5111
Phone
(502) 624-9396
Fax
(502) 624-0241
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31766 KY Primary

Addresses

Primary practice location

289 Ireland Ave
Ireland Army Community Hospital
Fort Knox, KY 40121-5111

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 4

IdentifierTypeStateIssuer
P00319190OtherKYRRMCR - NICC
P00243353OtherRRMCR - NICC
000000381975OtherANTHEM - NICC
064434OtherSIHO - NICC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000889 KY Practitioner - Internal Medicine 4880627629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

10798 Dixie Hwy
Louisville, KY 40272-4302
Phone (502) 588-9490

130 Hunter Station Way
Suite 101
Sellersburg, IN 47172-8931
Phone (812) 248-6020

4420 Dixie Hwy
Louisville, KY 40216-2986

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

9340 Cedar Ctr Way
Louisville, KY 40291-4522
Phone (502) 239-8431

9342 Cedar Ctr Way
Louisville, KY 40291-4522
Phone (502) 239-3228

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2006 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Norton Enterprises, Inc. Past Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients
After Hour Care of Kentuckiana, Inc. Past Accepting new patients

Locations

130 Hunter Station Way
Ste 101
Sellersburg, IN 47172
Phone (812) 246-4808

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 769-2273

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

4420 Dixie Hwy
Ste 116
Louisville, KY 40216
Phone (502) 449-6400

1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911

12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

9880 Angies Way
Ste 160
Louisville, KY 40241
Phone (502) 394-6333

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

7926 Preston Hwy
Louisville, KY 40219
Phone (502) 964-4357

150 Frankfort Rd
Ste 104A
Shelbyville, KY 40065
Phone (502) 844-2890

438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434

Interoperability endpoints

  • Direct secure messaging: pjadav11820@direct.nortonhealthcare.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1487634176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 IRELAND AVE",
            "address_2": "IRELAND ARMY COMMUNITY HOSPITAL",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401215111",
            "telephone_number": "502-624-9396",
            "fax_number": "502-624-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADAV",
        "first_name": "PRAGNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NICC",
            "identifier": "P00319190",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NICC",
            "identifier": "P00243353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NICC",
            "identifier": "000000381975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NICC",
            "identifier": "064434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Knox, KY

Sources for this page

Verify at the official NPI Registry.