PRIYANKA B PRADHAN MD
NPI 1104746312
Family Medicine in Pontiac, MI
About Priyanka B Pradhan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIYANKA B PRADHAN MD (NPI 1104746312) is an individual family medicine provider in Pontiac, Michigan, licensed in Michigan (4351057025) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Auburn Hills, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Priyanka B Pradhan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Priyanka Pradhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pontiac, MI 48341
- Reassigned Medicare billing, Michigan enrollment
- 46 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
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 Priyanka Pradhan's NPI number?
The NPI number for Priyanka Pradhan is 1104746312. It was assigned to this individual provider in the NPPES registry on July 17, 2026.
Where is Priyanka Pradhan located?
Priyanka Pradhan practices at 461 W Huron St, Pontiac, MI 48341. The listed phone number is (248) 724-7600.
What is Priyanka Pradhan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Priyanka Pradhan enrolled in Medicare?
Yes. Priyanka Pradhan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Priyanka Pradhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Pradhan reassigns Medicare benefits to Oakland Integrated Healthcare Network (Pontiac, MI). The 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 Priyanka Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Priyanka Pradhan was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Priyanka B Pradhan, MD · NPI 1104746312
Family Medicine physician in Pontiac, Michigan. Individual provider, active in the CMS NPPES registry since July 17, 2026.
## Identity
- **NPI:** 1104746312 (Entity type: Individual)
- **Enumerated:** July 17, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4351057025 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 461 W HURON ST, Pontiac, MI 48341-1601
- **Phone:** (248) 724-7600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oakland Integrated Healthcare Network (NPI 1114383320, Pontiac, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104746312) · Data from the CMS NPPES public registry.