SHAMSUDDIN C PRACHA MD
NPI 1104872779
Hospitalist in Dayton, OH
About Shamsuddin C Pracha Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAMSUDDIN C PRACHA MD (NPI 1104872779) is an individual hospitalist provider in Dayton, Ohio, licensed in Ohio (35.078920) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Shamsuddin C Pracha 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Cincinnati Medical Center, LLC
Acute Care Hospitals · Cincinnati, OHKettering Health Main Campus
Acute Care Hospitals · Kettering, OHWest Chester Hospital
Acute Care Hospitals · West Chester, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTON, OH 45415
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 Shamsuddin Pracha's NPI number?
The NPI number for Shamsuddin Pracha is 1104872779. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Shamsuddin Pracha located?
Shamsuddin Pracha practices at 8881 N Main St, Dayton, OH 45415. The listed phone number is (937) 832-5292.
What is Shamsuddin Pracha's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Shamsuddin Pracha enrolled in Medicare?
Yes. Shamsuddin Pracha 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 Shamsuddin Pracha accept?
Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Shamsuddin Pracha 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.
Is Shamsuddin Pracha affiliated with any hospitals?
According to CMS data, Shamsuddin Pracha is affiliated with University Of Cincinnati Medical Center, LLC, Kettering Health Main Campus and West Chester Hospital.
When was this NPI record last updated?
The NPPES record for Shamsuddin Pracha was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
