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PRAGATI KUMAR MD
NPI 1174713044
Radiology - Diagnostic Radiology in Zephyrhills, FL

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment
38135 MARKET SQUARE DR STE 104, ZEPHYRHILLS, FL 33542(813) 782-8829(813) 355-5099 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pragati Kumar Md NPPES

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

PRAGATI KUMAR MD (NPI 1174713044) is an individual diagnostic radiology provider in Zephyrhills, Florida, licensed in Florida (ME131497) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Sarasota Doctors Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1174713044
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NamePRAGATI KUMARCredential: MD
Location Address38135 MARKET SQUARE DR STE 104Zephyrhills, FL 33542-7505
Mailing Address17808 Willow Lake DrOdessa, FL 33556-4724 · (919) 428-0401
Phone(813) 782-8829
Fax(813) 355-5099
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 27, 2007
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1174713044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME131497
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
38135 MARKET SQUARE DR STE 104, Zephyrhills, FL 33542
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.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

Pragati Kumar 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 ID8426227976
PECOS Enrollment IDI20180129000802
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 Reassignments

3

Medicare enrollment records show Pragati Kumar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohi West Medical Group II LLC
Same address
General Practice
38135 MARKET SQUARE DR
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 467 clinicians in this Medicare group
NPI 1982381299 (813) 780-8774
FMC Urgent Care LLC
0.1 mi
Urgent Care
38021 MARKET SQ
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
NPI 1154563120 (813) 715-0374
Mori Bean And Brooks Inc
25 mi
Diagnostic Radiology
1 TAMPA GENERAL CIR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,130 clinicians in this Medicare group
NPI 1093782070 (904) 236-5884

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

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100166
Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County
Emergency services

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100236
Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100248
Location201 14th St SWLargo, FL 33770 · Pinellas County
Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100267
Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%1,348 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
98%51 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAYANA CAROLINA BERMUDEZ M.D.
Radiology (Diagnostic Radiology)
38135 MARKET SQUARE DR STE 104
ZEPHYRHILLS, FL 33542
Pasco County (813) 780-2155

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 Pragati Kumar's NPI number?

The NPI number for Pragati Kumar is 1174713044. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Pragati Kumar located?

Pragati Kumar practices at 38135 Market Square Dr Ste 104, Zephyrhills, FL 33542. The listed phone number is (813) 782-8829.

What is Pragati Kumar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Pragati Kumar enrolled in Medicare?

Yes. Pragati Kumar 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 organizations bill Medicare for Pragati Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pragati Kumar reassigns Medicare benefits to 3 organizations: Ohi West Medical Group II LLC (Zephyrhills, FL), FMC Urgent Care LLC (Zephyrhills, FL) and Mori Bean And Brooks Inc (Tampa, FL). Each 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 Pragati Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pragati Kumar accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Pragati Kumar 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 Pragati Kumar affiliated with any hospitals?

According to CMS data, Pragati Kumar is affiliated with Hca Florida Sarasota Doctors Hospital, Hca Florida St Petersburg Hospital, Hca Florida Fawcett Hospital, Hca Florida Largo Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Pragati Kumar was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.