Pratik S Pradhan, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

210126 Issued in MA

Practice address

35 Pearl St Ste 100
Brockton, MA 02301-1195

Phone

(508) 588-8034

Fax

(508) 588-5969

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Otolaryngology

Education

Harvard Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

ENT Specialists, IncGroup PAC ID 0648353888, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
• Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
• Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
• Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
• Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFADAA
• Direct secure messaging: ppradhan255547@direct.bilh.masshiway.net

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.

• ENT Specialists, Inc

  • Otolaryngology Physician
  • Brockton, MA
  • NPI 1548319809
  Medicare reassignment Care Compare group NPD
• ENT Norwood LLC

  • Otolaryngology Physician
  • Norwood, MA
  • NPI 1265749907
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boston Medical Center - South Corporation

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation
• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650
  Care Compare affiliation
• Brockton Hospital, Inc.

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1063431286
  Care Compare affiliation
• Lifespan of Massachusetts - Taunton Inc

  • General Acute Care Hospital
  • Taunton, MA
  • NPI 1609603877
  Care Compare affiliation
• Sturdy Memorial Hospital Inc

  • General Acute Care Hospital
  • Attleboro, MA
  • NPI 1730106162
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1881652832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011195",
            "telephone_number": "508-588-8034",
            "fax_number": "508-588-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011195",
            "telephone_number": "508-588-8034",
            "fax_number": "508-588-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "PRATIK",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "210126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132667",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George William Poulos, M.D., PH.D.
• Melisa Anne Poulos, M.D.
• Angie Powers
• Kellie Powers
• Mamatha Prabhakara, M.D.
• Renu B Prakash, MD
• Amit B Prasad, MD
• Jill Pratt
• Maria Zofia Pratt
• Joan Pratti

• Otolaryngology Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Otolaryngology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.