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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRANAV MILIND JAGTAP MD
NPI 1114381894
Psychiatry & Neurology - Psychiatry in Southfield, MI

Active since April 08, 2016Opted out of Medicare · through Dec 9, 2026
25899 W 12 MILE RD STE 320, SOUTHFIELD, MI 48034(947) 209-5202 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Dec 9, 2020, Sep 9, 2020 (3 updates tracked since 2020).

About Pranav Milind Jagtap Md NPPES

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

PRANAV MILIND JAGTAP MD (NPI 1114381894) is an individual psychiatry provider in Southfield, Michigan, licensed in Michigan (4301502156) and active in the NPI registry since April 2016. He has opted out of Medicare through December 9, 2026.

NPPES Registry Identity

NPI1114381894
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePRANAV MILIND JAGTAPCredential: MD
Location Address25899 W 12 MILE RD STE 320Southfield, MI 48034-8325
Mailing Address25899 W 12 Mile Rd Ste 320Southfield, MI 48034-8325 · (947) 209-5202
Phone(947) 209-5202
Sole ProprietorYes
Enumeration DateApril 8, 2016
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1114381894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4301502156
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
25899 W 12 MILE RD STE 320, Southfield, MI 48034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Pranav Milind Jagtap Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2020 through December 9, 2026.

Opt-Out Effective DateDecember 9, 2020
Opt-Out In Effect ThroughDecember 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

MRS. TAYLER TAYLOR LMSW, LCSW
Social Worker (Clinical)
25899 W 12 MILE RD STE 320
SOUTHFIELD, MI 48034
Oakland County (734) 215-7520
ADRIANNA MARISOL PENA-VAN DEN BOSSCHE NCC, LLC
Counselor (Professional)
25899 W 12 MILE RD STE 320
SOUTHFIELD, MI 48034
Oakland County (734) 335-4355
TAYLER TAYLOR LLC
Social Worker (Clinical)
25899 W 12 MILE RD STE 320
SOUTHFIELD, MI 48034
Oakland County (734) 215-7520
DEJIA PLUMP LLMSW
Social Worker (Clinical)
25899 W 12 MILE RD STE 320
SOUTHFIELD, MI 48034
Oakland County (248) 303-0400
AMBER ANDERSON
Counselor (Mental Health)
25899 W 12 MILE RD STE 320
SOUTHFIELD, MI 48034
Oakland County (248) 264-3522
ELEVARE IN MICHIGAN, PLLC
Social Worker (Clinical)
25899 W 12 MILE RD STE 320
SOUTHFIELD, MI 48034
Oakland County (317) 563-1117
MIA SAWYER
Social Worker (Clinical)
25899 W 12 MILE RD STE 320
SOUTHFIELD, MI 48034
Oakland County (248) 303-0400

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 Jagtap's NPI number?

The NPI number for Pranav Jagtap is 1114381894. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Pranav Jagtap located?

Pranav Jagtap practices at 25899 W 12 Mile Rd Ste 320, Southfield, MI 48034. The listed phone number is (947) 209-5202.

What is Pranav Jagtap's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pranav Jagtap enrolled in Medicare?

No. Pranav Jagtap has opted out of Medicare through December 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Pranav Jagtap accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Pranav Jagtap 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 Jagtap was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.