SAGUN PRADHAN MD
NPI 1144438540
Internal Medicine - Infectious Disease in Lancaster, PA
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Sagun Pradhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, PA 17601
- Reassigned Medicare billing, Pennsylvania enrollment
- 727 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lancaster General Hospital
Acute Care Hospitals · Lancaster, PAHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician 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.
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.
LANCASTER, PA 17601
LANCASTER, PA 17601
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.
Which organization bills Medicare for Sagun Pradhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sagun Pradhan reassigns Medicare benefits to Lancaster General Medical Group (Lancaster, PA). 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 Sagun Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 and Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Sagun Pradhan was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Sagun Pradhan, MD · NPI 1144438540
Infectious Disease physician in Lancaster, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 18, 2007.
## Identity
- **NPI:** 1144438540 (Entity type: Individual)
- **Enumerated:** May 18, 2007
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** MD437626 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2106 HARRISBURG PIKE, SUITE 301, Lancaster, PA 17601-2644
- **Phone:** (717) 544-3517
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lancaster General Medical Group (NPI 1164137287, Lancaster, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** June 25, 2014
- **Other identifiers:** Medicare PIN 159745 (PA); Medicaid 102420778 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1144438540) · Data from the CMS NPPES public registry.