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PRACHI BAODHANKAR MD
NPI 1215433313
Pediatrics in Bronx, NY

Active since April 05, 2018PECOS Enrolled
85 W BURNSIDE AVE, BRONX, NY 10453(718) 483-1270 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2023, Sep 10, 2021 (2 updates tracked since 2021).

About Prachi Baodhankar Md NPPES

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

PRACHI BAODHANKAR MD (NPI 1215433313) is an individual pediatrics provider in Bronx, New York, licensed in New York (312577-01) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Hyde Park, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215433313
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRACHI BAODHANKARCredential: MD
Location Address85 W BURNSIDE AVEBronx, NY 10453-4015
Mailing Address85 W Burnside AveBronx, NY 10453-4015 · (718) 483-1270
Phone(718) 483-1270
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1215433313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 312577-01✔ Licensed in NY · 312577
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
85 W BURNSIDE AVE, Bronx, NY 10453
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Secondary Practice Location 1

Location 126901 76th AveNew Hyde Park, NY 11040-1433 · Phone (718) 470-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prachi Baodhankar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052649431
PECOS Enrollment IDI20260427001908
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 Prachi Baodhankar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore-Lij Medical PC
12 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Garden State Healthcare Associates, LLC
17 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Mission Community Anesthesiology Specialists LLC
594 mi
Physician Assistant
1 HOSPITAL DR STE 4100
Asheville, NC 28801
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 clinicians in this Medicare group
NPI 1114497344 (828) 213-1740

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

SIMA ALEXANDRA LICHTSCHEIN
Social Worker (Clinical)
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 483-1270
CHIARA NOELLE LONDONO MD
Internal Medicine (Geriatric Medicine)
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
KIARA MEJIA DE JESUS
Social Worker
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
DANIEL ROBERT PILOSOV DO
Family Medicine
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 483-1232
RACHEL MACKOFF LMSW
Social Worker
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
NATHALY ORTEGA RN
Registered Nurse
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 679-8179
MARIA ANGELA ABREU LMSW
Social Worker
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 716-4400
MARIA ISABEL LABOY
Dental Hygienist
85 W BURNSIDE AVE
BRONX, NY 10453
Bronx County (718) 483-1270

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 Prachi Baodhankar's NPI number?

The NPI number for Prachi Baodhankar is 1215433313. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Prachi Baodhankar located?

Prachi Baodhankar practices at 85 W Burnside Ave, Bronx, NY 10453. The listed phone number is (718) 483-1270.

What is Prachi Baodhankar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Prachi Baodhankar enrolled in Medicare?

Yes. Prachi Baodhankar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prachi Baodhankar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prachi Baodhankar reassigns Medicare benefits to 3 organizations: North Shore-Lij Medical PC (Great Neck, NY), Garden State Healthcare Associates, LLC (Bayonne, NJ) and Mission Community Anesthesiology Specialists LLC (Asheville, NC). 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 Prachi Baodhankar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prachi Baodhankar accept?

Health plans from AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health and Oscar Health Plan of North Carolina, Inc list Prachi Baodhankar 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.

When was this NPI record last updated?

The NPPES record for Prachi Baodhankar was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.