DR. PRALAY KUMAR SARKAR MD
NPI 1194964270
Internal Medicine - Pulmonary Disease in Gainesville, FL
About Dr. Pralay Kumar Sarkar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRALAY KUMAR SARKAR MD (NPI 1194964270) is an individual pulmonary disease provider in Gainesville, Florida, licensed in Texas (P5887) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Pralay Kumar Sarkar 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 Reassignments
2Medicare enrollment records show Pralay Sarkar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 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 2
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harris Health System
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
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 Pralay Sarkar's NPI number?
The NPI number for Pralay Sarkar is 1194964270. It was assigned to this individual provider in the NPPES registry on February 12, 2009.
Where is Pralay Sarkar located?
Pralay Sarkar practices at 1600 SW Archer Rd Room M452, Health Sciences Building, Shands Hospital, Gainesville, FL 32610. The listed phone number is (352) 273-8734.
What is Pralay Sarkar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Pralay Sarkar enrolled in Medicare?
Yes. Pralay Sarkar 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 Pralay Sarkar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pralay Sarkar reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Houston, TX). 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 Pralay Sarkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pralay Sarkar accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Pralay Sarkar 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 Pralay Sarkar affiliated with any hospitals?
According to CMS data, Pralay Sarkar is affiliated with Harris Health System.
When was this NPI record last updated?
The NPPES record for Pralay Sarkar was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Pralay Kumar Sarkar, MD · NPI 1194964270
Pulmonary Disease physician in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since February 12, 2009.
## Identity
- **NPI:** 1194964270 (Entity type: Individual)
- **Enumerated:** February 12, 2009
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** P5887 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 SW ARCHER RD, ROOM M452, HEALTH SCIENCES BUILDING, SHANDS HOSPITAL, Gainesville, FL 32610-3003
- **Phone:** (352) 273-8734
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Baylor College Of Medicine (NPI 1053352914, Houston, TX); Baylor College Of Medicine (NPI 1881026664, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** May 28, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1194964270) · Data from the CMS NPPES public registry.