PRAGNA KOLETI
NPI 1114555828
Internal Medicine in Norristown, PA

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
2701 DEKALB PIKE, NORRISTOWN, PA 19401(610) 278-2003 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pragna Koleti NPPES

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

PRAGNA KOLETI (NPI 1114555828) is an individual internal medicine provider in Norristown, Pennsylvania, licensed in Ohio (35.147455) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114555828
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAGNA KOLETI
Location Address2701 DEKALB PIKENorristown, PA 19401-1820
Mailing Address2701 Dekalb PikeNorristown, PA 19401-1820
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2020
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
NPI 1114555828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35.147455
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2701 DEKALB PIKE, Norristown, PA 19401

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

Pragna Koleti 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 ID5698185957
PECOS Enrollment IDI20231010001420
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
265 services109 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
142 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
118 services117 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
2701 DEKALB PIKE
NORRISTOWN, PA 19401
Student in an Organized Health Care Education/Training Program
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Student in an Organized Health Care Education/Training Program
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Surgery
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Internal Medicine
2701 DEKALB PIKE
NORRISTOWN, PA 19401
Physician Assistant
2701 DEKALB PIKE
NORRISTOWN, PA 19401
General Acute Care Hospital
2701 DEKALB PIKE
EAST NORRITON, PA 19401
Student in an Organized Health Care Education/Training Program
2701 DEKALB PIKE
EAST NORRITON, PA 19401

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 Pragna Koleti's NPI number?

The NPI number for Pragna Koleti is 1114555828. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Pragna Koleti located?

Pragna Koleti practices at 2701 Dekalb Pike, Norristown, PA 19401. The listed phone number is (610) 278-2003.

What is Pragna Koleti's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pragna Koleti enrolled in Medicare?

Yes. Pragna Koleti 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 Pragna Koleti accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Pragna Koleti 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 Pragna Koleti affiliated with any hospitals?

According to CMS data, Pragna Koleti is affiliated with Mercy Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Pragna Koleti was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.