DR. PRAKASH N PURANIK M.D.
NPI 1164489860
Internal Medicine in Meriden, CT

NPI Status: Active since April 27, 2006

Contact Information

546 S BROAD ST
UNIT 2 E
MERIDEN, CT
ZIP 06450
Phone: (203) 237-1054

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  • Individual
  • Male
  • Internal Medicine
  • PECOS Enrolled

About PRAKASH PURANIK

This page provides the complete NPI Profile along with additional information for Prakash Puranik, an internist established in Meriden, Connecticut with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1164489860 assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X with license number 022155 (CT). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1164489860
Provider Name
DR. PRAKASH N PURANIK M.D.
Gender
Male
Entity Type
Individual
Location Address
546 S BROAD ST UNIT 2 E MERIDEN, CT 06450
Location Phone
(203) 237-1054
Mailing Address
546 S BROAD ST UNIT 2 E MERIDEN, CT 06450
Mailing Phone
(203) 237-1054
Is Sole Proprietor?
Yes
Enumeration Date
04-27-2006
Last Update Date
01-22-2010
Code Navigator

An internist like Prakash Puranik is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
022155
License State
CT
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001221555MEDICAID (05)CT 
B83443MEDICARE UPIN (02)CT 
110000995MEDICARE ID-TYPE UNSPECIFIED (04)CT 

Medicare Participation & PECOS Enrollment Status

Prakash Puranik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06450 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $138.84
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $34.71
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.68
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $26.67
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164489860, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 8 + 8 + 1 + 8 + 8 + 1 + 2 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1164489860.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
546 S BROAD ST
MERIDEN, CT 06450
Ophthalmology
546 S BROAD ST
MERIDEN, CT 06450
Ophthalmology
546 S BROAD ST
MERIDEN, CT 06450
Dermatology
546 S BROAD ST
MERIDEN, CT 06450
Physical Therapy Assistant
546 S BROAD ST
MERIDEN, CT 06450
Dentist (Periodontics)
546 S BROAD ST, SUITE 3A
MERIDEN, CT 06450
Dentist (Endodontics)
546 S BROAD ST, SUITE 3B
MERIDEN, CT 06450
Dentist (Orthodontics and Dentofacial Orthopedics)
546 S BROAD ST, SUITE 4AA
MERIDEN, CT 06450
Dentist (Pediatric Dentistry)
546 S BROAD ST, SUITE 2D
MERIDEN, CT 06450
Dentist (Endodontics)
546 S BROAD ST, SUITE 3B
MERIDEN, CT 06450
Dentist (Endodontics)
546 S BROAD ST, SUITE 3B
MERIDEN, CT 06450
Family Medicine
546 S BROAD ST, SUITE 4B
MERIDEN, CT 06450
Technician/Technologist (Optician)
546 S BROAD ST
MERIDEN, CT 06450
Thoracic Surgery (Cardiothoracic Vascular Surgery)
546 S BROAD ST, SUITE 2E
MERIDEN, CT 06450
Surgery
546 S BROAD ST, SUITE 2E
MERIDEN, CT 06450
Specialist
546 S BROAD ST, SUITE 4C
MERIDEN, CT 06450
Eyewear Supplier
546 S BROAD ST, D1
MERIDEN, CT 06450
Technician/Technologist (Optician)
546 S BROAD ST, 1D
MERIDEN, CT 06450
Ophthalmology
546 S BROAD ST
MERIDEN, CT 06450
Dentist (Endodontics)
546 S BROAD ST, SUITE 3B
MERIDEN, CT 06450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164489860, enumerated as an "individual" on April 27, 2006.

The provider is located at 546 S BROAD ST UNIT 2 E MERIDEN, CT 06450 and the phone number is (203) 237-1054.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.