Individual provider Active NPI

Pragati Pandey, M.D.

  • Family Medicine Physician
  • Montclair, NJ
National Provider Identifier
1831380195
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA12790400 Issued in NJ
Practice address
1 Seymour St
Montclair, NJ 07042-3771
Phone
(973) 302-9620
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA12790400 NJ Primary
Family Medicine Physician 207Q00000X 52993 CO
Family Medicine Physician 207Q00000X R5022 TX
Family Medicine Physician 207Q00000X 52854 MN

Addresses

Primary practice location

1 Seymour St
Montclair, NJ 07042-3771

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppandey1849685@DIRECT.Texashealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180413001694 TX Practitioner - Family Practice 8921290099 Reassigns benefits to 2 organizations
I20251128000010 NJ Practitioner - Family Practice 8921290099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52854MNMDFamily Medicine Physician
25MA12790400NJMDFamily Medicine Physician
R5022TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Oct 13, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 6, 2018 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jul 6, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Oct 13, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2021 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Summit Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1 Seymour St
Montclair, NJ 07042
Phone (973) 302-6025

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3600 Gaston Ave
Ste 656
Dallas, TX 75246
Phone (214) 820-3466

1217 Oakland Blvd
Fort Worth, TX 76103
Phone (817) 457-3853

Interoperability endpoints

  • Direct secure messaging: pragati.pandey.1@2983.direct.athenahealth.com
  • Direct secure messaging: ppandey1849685@direct.texashealth.org

Organizations & group practices 8

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1831380195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEYMOUR ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423771",
            "telephone_number": "973-302-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "PRAGATI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA12790400",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "52993",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R5022",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppandey1849685@DIRECT.Texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1217 Oakland Blvd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761031125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.