SAGUN PRADHAN MD
NPI 1144438540
Internal Medicine - Infectious Disease in Lancaster, PA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
2106 HARRISBURG PIKE, SUITE 301, LANCASTER, PA 17601(717) 544-3517 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sagun Pradhan Md NPPES

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

SAGUN PRADHAN MD (NPI 1144438540) is an individual infectious disease provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD437626) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1144438540
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameSAGUN PRADHANCredential: MD
Location Address2106 HARRISBURG PIKE, SUITE 301Lancaster, PA 17601-2644
Mailing Address2106 Harrisburg Pike, Suite 301Lancaster, PA 17601-2644 · (717) 544-3517
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 18, 2007
Last NPPES UpdateJune 25, 2014
NPI 1144438540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in PA · MD437626
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2106 HARRISBURG PIKE, Lancaster, PA 17601

Other Identifiers 2

Medicare PIN159745PA
Medicaid102420778PA

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

Sagun Pradhan 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 ID5799839858
PECOS Enrollment IDI20090825000130
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 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.
679 services226 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services86 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.
94 services92 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Urology
2106 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Urology
2106 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Urology
2106 HARRISBURG PIKE, SUTE 200
LANCASTER, PA 17601
Nurse Practitioner (Pediatrics)
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Internal Medicine (Infectious Disease)
2106 HARRISBURG PIKE, SUITE 301
LANCASTER, PA 17601
Pediatrics
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Nurse Practitioner (Pediatrics)
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601
Pediatrics
2106 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17601

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 Sagun Pradhan's NPI number?

The NPI number for Sagun Pradhan is 1144438540. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Sagun Pradhan located?

Sagun Pradhan practices at 2106 Harrisburg Pike Suite 301, Lancaster, PA 17601. The listed phone number is (717) 544-3517.

What is Sagun Pradhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sagun Pradhan enrolled in Medicare?

Yes. Sagun Pradhan 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 Sagun Pradhan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sagun Pradhan 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 Sagun Pradhan affiliated with any hospitals?

According to CMS data, Sagun Pradhan is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Sagun Pradhan was last updated on June 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.