PRADEEPA YOGANATHAN MD
NPI 1104137728
Ophthalmology in Detroit, MI

Q: What is Pradeepa Yoganathan's NPI number?

The NPI number for Pradeepa Yoganathan is 1104137728. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Q: What is Pradeepa Yoganathan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment

90.09/100

CMS Quality Rating

4717 SAINT ANTOINE ST, DETROIT, MI 48201(313) 577-8932 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2019, Jan 25, 2017 (2 updates tracked since 2017).

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About Pradeepa Yoganathan Md NPPES

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

PRADEEPA YOGANATHAN MD (NPI 1104137728) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301116895) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2003).

NPPES Registry Identity

NPI1104137728

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NamePRADEEPA YOGANATHANCredential: MD

Location Address4717 SAINT ANTOINE STDetroit, MI 48201-1423

Mailing Address606 Woodvalley DrPittsburgh, PA 15238-2135 · (716) 507-6710

Phone(313) 577-8932

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2003

Enumeration DateJune 29, 2010

Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration

✔ NPI 1104137728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in MI · 4301116895✔ Licensed in NY · 002577✔ Licensed in PA · MD456953

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD456953 (PA)

Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X · License MD456953 (PA)

4717 SAINT ANTOINE ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Pradeepa Yoganathan 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 ID7517151772

PECOS Enrollment IDI20190729003122

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.

Areas of Expertise CMS Part B claims 6

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 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.

216 services119 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

162 services69 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

104 services14 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

102 services21 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

55 services52 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

90.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.56

Promoting Interoperability

100

Improvement Activities

Cost

54.6

Other Providers at the Same Location NPPES 20

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

DR. HASSAN ALI TOKKO MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-7614

WILLIAM ROBERT LUCAS JR. MD

Ophthalmology

4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

UNIVERSITY PHYSICIAN GROUP

Optometrist

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

TUBA SOHAIL MIRZA DO

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

MARYAM ASHRAFKHORASANI

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

NIKITA KAUR BHANGU MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 745-5146

CLAIRE SIMONS MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

CHRISTOPHER DAVIS MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

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 Pradeepa Yoganathan's NPI number?

The NPI number for Pradeepa Yoganathan is 1104137728. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Pradeepa Yoganathan located?

Pradeepa Yoganathan practices at 4717 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 577-8932.

What is Pradeepa Yoganathan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Pradeepa Yoganathan enrolled in Medicare?

Yes. Pradeepa Yoganathan 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.

What insurance does Pradeepa Yoganathan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Pradeepa Yoganathan 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 Pradeepa Yoganathan was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.