DR. PRASUN MANDAL DO
NPI 1205405875
Family Medicine in Waconia, MN

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
424 W HIGHWAY 5, WACONIA, MN 55387(952) 442-4461 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Jun 18, 2021 (2 updates tracked since 2021).

About Dr. Prasun Mandal Do NPPES

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

DR. PRASUN MANDAL DO (NPI 1205405875) is an individual family medicine provider in Waconia, Minnesota, licensed in Minnesota (79925) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205405875
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRASUN MANDALCredential: DO
Location Address424 W HIGHWAY 5Waconia, MN 55387-1795
Mailing Address424 W State Highway 5Waconia, MN 55387-1795 · (952) 442-4461 · Fax (952) 442-1547
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2021
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1205405875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 79925
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
424 W HIGHWAY 5, Waconia, MN 55387

Secondary Practice Locations 3

Location 1110105 Pioneer Trl WChaska, MN 55318-2680 · Phone (952) 556-0120 · Fax (952) 556-0121
Location 2406 Faxon Rd NNorwood, MN 55368-9507 · Phone (952) 467-2888 · Fax (952) 467-3258
Location 3313 Territorial St EWatertown, MN 55388-9284 · Phone (952) 955-1921 · Fax (952) 955-3115

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

Dr. Prasun Mandal Do 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 ID4284038464
PECOS Enrollment IDI20250723000733
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.

Hospital Affiliations CMS Care Compare

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 8

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

Surgery
424 W HIGHWAY 5
WACONIA, MN 55387
Pediatrics
424 W HIGHWAY 5
WACONIA, MN 55387
Nurse Practitioner (Family)
424 W HIGHWAY 5
WACONIA, MN 55387
Physician Assistant
424 W HIGHWAY 5
WACONIA, MN 55387
Internal Medicine
424 W HIGHWAY 5
WACONIA, MN 55387
Family Medicine
424 W HIGHWAY 5
WACONIA, MN 55387
Pediatrics
424 W HIGHWAY 5
WACONIA, MN 55387
Pediatrics
424 W HIGHWAY 5
WACONIA, MN 55387

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 Prasun Mandal's NPI number?

The NPI number for Prasun Mandal is 1205405875. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Prasun Mandal located?

Prasun Mandal practices at 424 W Highway 5, Waconia, MN 55387. The listed phone number is (952) 442-4461.

What is Prasun Mandal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prasun Mandal enrolled in Medicare?

Yes. Prasun Mandal 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 Prasun Mandal accept?

Health plans from HealthPartners and Medica list Prasun Mandal 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 Prasun Mandal affiliated with any hospitals?

According to CMS data, Prasun Mandal is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Prasun Mandal was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.