Individual provider Active NPI

Prakash R. Darji, M.D.

  • Internal Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1992876569
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME154208 Issued in FL
Practice address
2906 17TH St
Saint Cloud, FL 34769-6006
Phone
(321) 841-7856
Fax
(407) 253-2563
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230136 MA
Hospitalist Physician 208M00000X 230136 MA
Internal Medicine Physician 207R00000X ME154208 FL Primary

Addresses

Primary practice location

2906 17TH St
Saint Cloud, FL 34769-6006

Mailing address

29 Delaware Ave
Pittsfield, MA 01201-3615
Phone (413) 499-8510

Other practice location 1

164 High Street
Greenfield, MA 01301-2613
Phone (413) 772-0211

Other practice location 2

777 North St
Suite 207
Pittsfield, MA 01201-4147
Phone (413) 499-8510

Other identifiers 14

IdentifierTypeStateIssuer
043531502OtherMACIGNA INDEMNITY
043531502OtherMDGIC INDEMNITY
6003108OtherMAMVP
J40995OtherMABCBS
043531502OtherMAHMC PPO
10117498OtherMACDPHP
AA75439OtherMAHARVARD PILGRIM
043531502OtherMAAETNA
043531502OtherMAUHC
39532OtherMAHEALTH NEW ENGLAND
5034677OtherMACIGNA HMO
000000037261OtherMAHEALTHNET
495566OtherMATUFTS
P00367440OtherMARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20061202000080 MA Practitioner - HospitalistPractitioner - Internal Medicine 7719986603 Reassigns benefits to 4 organizations
I20181205002710 NY Practitioner - Hospitalist 7719986603 Reassigns benefits to 1 organization
I20230403000049 FL Practitioner - Internal Medicine 7719986603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2906 17TH St
Saint Cloud, FL 34769-6006
Phone (321) 841-7856

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 5, 2018 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Oct 9, 2017 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Oct 9, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 5, 2018 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Internal Medicine CurrentSince Jan 2, 2009 Accepting new patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Jun 11, 2019 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Aug 1, 2021 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

777 North St
Ste 207
Pittsfield, MA 01201
Phone (413) 499-8510

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pdarji59556@direct.southcoast.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1992876569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DELAWARE AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013615",
            "telephone_number": "413-499-8510",
            "fax_number": "413-499-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696006",
            "telephone_number": "321-841-7856",
            "fax_number": "407-253-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 High Street",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012613",
            "country_code": "US",
            "telephone_number": "413-772-0211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 North St",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014147",
            "country_code": "US",
            "telephone_number": "413-499-8510",
            "fax_number": "413-499-8553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARJI",
        "first_name": "PRAKASH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "230136",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "230136",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME154208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INDEMNITY",
            "identifier": "043531502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIC INDEMNITY",
            "identifier": "043531502",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "6003108",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J40995",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC PPO",
            "identifier": "043531502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10117498",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA75439",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "043531502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "043531502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "39532",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "5034677",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "000000037261",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "495566",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00367440",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.