PRAGATI HITESH MAMTORA MD
NPI 1114549003
Student in an Organized Health Care Education/Training Program in North Chicago, IL

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 578-8711 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2021, Jun 18, 2020, Jun 12, 2020 and 1 more (4 updates tracked since 2020).

About Pragati Hitesh Mamtora Md NPPES

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

PRAGATI HITESH MAMTORA MD (NPI 1114549003) is an individual student in an organized health care education/training program in North Chicago, Illinois and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114549003
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRAGATI HITESH MAMTORACredential: MD
Location Address3333 GREEN BAY RDNorth Chicago, IL 60064-3037
Mailing Address3333 Green Bay RdNorth Chicago, IL 60064-3037
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 13, 2020
Last NPPES UpdateJune 12, 20214 updates tracked since enumeration
NPPES CertifiedJune 12, 2021
NPI 1114549003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3333 GREEN BAY RD, North Chicago, IL 60064

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

Pragati Hitesh Mamtora 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 ID345643961
PECOS Enrollment IDI20251015003419
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.

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.

Psychiatry & Neurology (Psychiatry)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Nurse Anesthetist, Certified Registered
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064

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 Pragati Mamtora's NPI number?

The NPI number for Pragati Mamtora is 1114549003. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Pragati Mamtora located?

Pragati Mamtora practices at 3333 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (847) 578-8711.

What is Pragati Mamtora's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pragati Mamtora enrolled in Medicare?

Yes. Pragati Mamtora 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.

When was this NPI record last updated?

The NPPES record for Pragati Mamtora was last updated on June 12, 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.