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PRAGYA JAIN M.D.
NPI 1053624189
Internal Medicine in Belmont, CA

Active since July 18, 2010PECOS EnrolledAccepts Medicare Assignment
1301 SHOREWAY RD STE 100, BELMONT, CA 94002(650) 596-7000(650) 596-7096 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Jun 27, 2016 (2 updates tracked since 2016).

About Pragya Jain M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAGYA JAIN M.D. (NPI 1053624189) is an individual internal medicine provider in Belmont, California, licensed in California (A120149) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1053624189
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAGYA JAINCredential: M.D.
Location Address1301 SHOREWAY RD STE 100Belmont, CA 94002-4110
Mailing Address1301 Shoreway Rd Ste 100Belmont, CA 94002-4110 · (650) 596-7000 · Fax (650) 596-7096
Phone(650) 596-7000
Fax(650) 596-7096
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 18, 2010
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
✔ NPI 1053624189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A120149
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1301 SHOREWAY RD STE 100, Belmont, CA 94002
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Other Names 1

Other Name (5)Pragya Kumbhat M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pragya Jain M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901062249
PECOS Enrollment IDI20120731000723
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIVA SALMASI MD
Internal Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
DR. MEGHAN LYNN HUMBERT DO
Psychiatry & Neurology (Neurology)
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
DENNIS N HUGHES M.D.
Internal Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
MARCO A JACOBO PA-C
Physician Assistant
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
DR. ANJALI K. RAO MD
Obstetrics & Gynecology
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
BRIAN XIEU
Family Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
DR. JOLLY PHILIP
Family Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
NINA MOMOKO LIPPEY DO
Family Medicine
1301 SHOREWAY RD STE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pragya Jain's NPI number?

The NPI number for Pragya Jain is 1053624189. It was assigned to this individual provider in the NPPES registry on July 18, 2010. The provider is also known as Pragya Kumbhat M.D..

Where is Pragya Jain located?

Pragya Jain practices at 1301 Shoreway Rd Ste 100, Belmont, CA 94002. The listed phone number is (650) 596-7000.

What is Pragya Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pragya Jain enrolled in Medicare?

Yes. Pragya Jain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pragya Jain was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.