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PRACHI DALAL NP
NPI 1134813900
Nurse Practitioner in San Jose, CA

Active since June 05, 2023PECOS EnrolledAccepts Medicare Assignment
225 N JACKSON AVE, SAN JOSE, CA 95116(408) 259-5000 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prachi Dalal Np NPPES

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

PRACHI DALAL NP (NPI 1134813900) is an individual nurse practitioner in San Jose, California, licensed in California (95024685) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134813900
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePRACHI DALALCredential: NP
Location Address225 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address232 Primrose DrSan Jose, CA 95123-4447 · (703) 677-1664
Phone(408) 259-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1134813900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95024685
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
225 N JACKSON AVE, San Jose, CA 95116
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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

Prachi Dalal Np 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 ID1658725858
PECOS Enrollment IDI20230921002237
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

DR. JOHN J REDINSKI DO
Internal Medicine (Critical Care Medicine)
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-4051
DR. KOMAL J BHATT MD
Internal Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
CHRISTINE LOUIE MD
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
GERALD A WEISS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 866-4060
SHALIN HIRA PATEL M.D
Emergency Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 923-7121
DR. LINDA LIEN TRAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
225 N JACKSON AVE, PHARMACY DEPARTMENT
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
PETER TZEE TSENG SUN MD
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000
QING WANG MD
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 259-5000

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 Prachi Dalal's NPI number?

The NPI number for Prachi Dalal is 1134813900. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Prachi Dalal located?

Prachi Dalal practices at 225 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 259-5000.

What is Prachi Dalal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Prachi Dalal enrolled in Medicare?

Yes. Prachi Dalal 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 Prachi Dalal was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.