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PRAJAN SUBEDI
NPI 1124250022
Internal Medicine - Critical Care Medicine in Loma Linda, CA

Active since August 12, 2009PECOS Enrolled
11201 BENTON ST # 111P, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2025, Mar 23, 2017 (2 updates tracked since 2017).

About Prajan Subedi NPPES

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

PRAJAN SUBEDI (NPI 1124250022) is an individual critical care medicine provider in Loma Linda, California, licensed in California (A130101) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124250022
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePRAJAN SUBEDI
Location Address11201 BENTON ST # 111PLoma Linda, CA 92357-1557
Mailing Address11201 Benton St # 111pLoma Linda, CA 92357-1000 · (909) 825-7084
Phone(909) 825-7084
Sole ProprietorNo
Enumeration DateAugust 12, 2009
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1124250022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A130101
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301094003 (MI)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A130101 (CA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License A130101 (CA)
11201 BENTON ST # 111P, Loma Linda, CA 92357
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prajan Subedi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Prajan Subedi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents
41 mi
Allergy & Immunology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 525 clinicians in this Medicare group
NPI 1003864174 (714) 456-8068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92357 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Prajan Subedi's NPI number?

The NPI number for Prajan Subedi is 1124250022. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Where is Prajan Subedi located?

Prajan Subedi practices at 11201 Benton St # 111P, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Prajan Subedi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Prajan Subedi enrolled in Medicare?

Yes. Prajan Subedi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prajan Subedi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prajan Subedi reassigns Medicare benefits to Uc Regents (Orange, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prajan Subedi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prajan Subedi was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.