DR. PRANITA A NIRGUDKAR M.D.
NPI 1245420496
Obstetrics & Gynecology - Maternal & Fetal Medicine in Atlanta, GA
About Dr. Pranita A Nirgudkar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRANITA A NIRGUDKAR M.D. (NPI 1245420496) is an individual maternal & fetal medicine provider in Atlanta, Georgia, licensed in Georgia (83038) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Pranita A Nirgudkar M.d. 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
4Medicare enrollment records show Pranita Nirgudkar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montgomery, AL 36117
- Reassigned Medicare billing, Alabama enrollment
- 439 clinicians in this Medicare group
Mobile, AL 36604
- Reassigned Medicare billing, Alabama enrollment
- 857 clinicians in this Medicare group
Blue Springs, MO 64014
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 1,339 clinicians in this Medicare group
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ATLANTA, GA 30342
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 Pranita Nirgudkar's NPI number?
The NPI number for Pranita Nirgudkar is 1245420496. It was assigned to this individual provider in the NPPES registry on July 25, 2007.
Where is Pranita Nirgudkar located?
Pranita Nirgudkar practices at 1000 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 303-7647.
What is Pranita Nirgudkar's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.
Is Pranita Nirgudkar enrolled in Medicare?
Yes. Pranita Nirgudkar 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 Pranita Nirgudkar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pranita Nirgudkar reassigns Medicare benefits to 4 organizations: The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL), Usa Health Physician Billing Services LLC (Mobile, AL), Saint Luke's Physician Group Inc (Blue Springs, MO) and Alegent Creighton Clinic (Omaha, NE). 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 Pranita Nirgudkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pranita Nirgudkar accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Pranita Nirgudkar 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 Pranita Nirgudkar was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Pranita A Nirgudkar, M.D. · NPI 1245420496
Maternal & Fetal Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 25, 2007.
## Identity
- **NPI:** 1245420496 (Entity type: Individual)
- **Enumerated:** July 25, 2007
- **Primary specialty:** Obstetrics & Gynecology - Maternal & Fetal Medicine · taxonomy 207VM0101X
- **State license:** 83038 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 JOHNSON FY RD NE, Atlanta, GA 30342-1606
- **Phone:** (404) 303-7647
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (NPI 1144529686, Montgomery, AL); Usa Health Physician Billing Services LLC (NPI 1013574722, Mobile, AL); Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO); Alegent Creighton Clinic (NPI 1548287907, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245420496) · Data from the CMS NPPES public registry.