PRANAV D. DADHICH MD
NPI 1053845362
Urology in San Luis Obispo, CA

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
35 CASA ST STE 370, SAN LUIS OBISPO, CA 93405(805) 541-1111 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Apr 13, 2017 (2 updates tracked since 2017).

About Pranav D. Dadhich Md NPPES

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

PRANAV D. DADHICH MD (NPI 1053845362) is an individual urology provider in San Luis Obispo, California, licensed in California (A202817) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2017).

NPPES Registry Identity

NPI1053845362
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePRANAV D. DADHICHCredential: MD
Location Address35 CASA ST STE 370San Luis Obispo, CA 93405-5835
Mailing Address225 Prado Rd Ste DSan Luis Obispo, CA 93401-7363
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1053845362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in CA · A202817✔ Licensed in TX · U4492
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
35 CASA ST STE 370, San Luis Obispo, CA 93405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pranav D. Dadhich Md 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 ID8820425127
PECOS Enrollment IDI20250724003645
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Pranav Dadhich reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
225 PRADO RD, SUITE D
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
Medical Oncology
7848 GATEWAY BLVD E
El Paso, TX 79915
  • Reassigned Medicare billing, Texas enrollment
  • 1,054 clinicians in this Medicare group
Internal Medicine
4401 PARK SPRINGS BLVD STE 100
Arlington, TX 76017
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services124 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
83 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services60 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
69 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Urology
35 CASA ST STE 370
SAN LUIS OBISPO, CA 93405
Non-Pharmacy Dispensing Site
35 CASA ST STE 370
SAN LUIS OBISPO, CA 93405
Urology
35 CASA ST STE 370
SAN LUIS OBISPO, CA 93405
Physician Assistant (Medical)
35 CASA ST STE 370
SAN LUIS OBISPO, CA 93405

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 Pranav Dadhich's NPI number?

The NPI number for Pranav Dadhich is 1053845362. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Pranav Dadhich located?

Pranav Dadhich practices at 35 Casa St Ste 370, San Luis Obispo, CA 93405. The listed phone number is (805) 541-1111.

What is Pranav Dadhich's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Pranav Dadhich enrolled in Medicare?

Yes. Pranav Dadhich 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.

Which organizations bill Medicare for Pranav Dadhich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pranav Dadhich reassigns Medicare benefits to 4 organizations: Urology Associates Of The Central Coast (San Luis Obispo, CA), The Association Of University Physicians (Seattle, WA), Texas Oncology PA (El Paso, TX) and Medical Clinic Of North Texas, PLLC (Arlington, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pranav Dadhich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pranav Dadhich accept?

Health plans from Cigna Healthcare list Pranav Dadhich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pranav Dadhich was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.