PRANAV M JAGTAP MD
NPI 1114381894
Psychiatry & Neurology - Psychiatry in Bloomfield Hills, MI

Active since April 08, 2016Opted out of Medicare · through Dec 9, 2026
36400 WOODWARD AVE STE 101, BLOOMFIELD HILLS, MI 48304(947) 207-1076 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2020, Sep 9, 2020 (2 updates tracked since 2020).

About Pranav M Jagtap Md NPPES

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

PRANAV M JAGTAP MD (NPI 1114381894) is an individual psychiatry provider in Bloomfield Hills, Michigan, licensed in Michigan (4301502156) and active in the NPI registry since April 2016. He has opted out of Medicare through December 9, 2026 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114381894
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePRANAV M JAGTAPCredential: MD
Location Address36400 WOODWARD AVE STE 101Bloomfield Hills, MI 48304-0911
Mailing AddressPo Box 578Birmingham, MI 48012-0578 · (947) 207-1076
Sole ProprietorNo
Enumeration DateApril 8, 2016
Last NPPES UpdateDecember 9, 20202 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
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.
36400 WOODWARD AVE STE 101, Bloomfield Hills, MI 48304

Secondary Practice Locations 2

Location 12799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-5445
Location 228050 Grand River AveFarmington Hills, MI 48336-5919 · Phone (248) 471-8000 · Fax (248) 471-8964

Accepted 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 M 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

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 36400 Woodward Ave Ste 101, Bloomfield Hills, MI 48304. The listed phone number is (947) 207-1076.

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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company and 1 other insurer 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 December 9, 2020. 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.