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MR. PRANAV PRAKASH MD
NPI 1275108953
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since May 25, 2021PECOS EnrolledAccepts Medicare Assignment
7485 SW 17TH ROAD, GAINESVILLE, FL 32607(352) 333-5700(352) 376-4975 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2026, May 4, 2026, Feb 7, 2023 and 2 more (5 updates tracked since 2021).

About Mr. Pranav Prakash Md NPPES

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

MR. PRANAV PRAKASH MD (NPI 1275108953) is an individual student in an organized health care education/training program in Gainesville, Florida, licensed in Florida (TRN33916) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Peace Harbor Medical Center, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1275108953
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PRANAV PRAKASHCredential: MD
Location Address7485 SW 17TH ROADGainesville, FL 32607
Mailing Address1147 Nw 64th TerraceGainesville, FL 32605 · (352) 333-5173 · Fax (352) 331-9562
Phone(352) 333-5700
Fax(352) 376-4975
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2026
Enumeration DateMay 25, 2021
Last NPPES UpdateFebruary 7, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1275108953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · TRN33916
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7485 SW 17TH ROAD, Gainesville, FL 32607
Open in Google Maps ↗

Secondary Practice Location 1

Location 15323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7200 · Phone (214) 648-3433 · Fax (352) 331-9562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 and accepts Medicare assignment

Mr. Pranav Prakash 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 ID4688143324
PECOS Enrollment IDI20260512002736
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 Reassignment

Medicare enrollment records show Pranav Prakash reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eugene Springfield Nephrology Associates, PC
2,430 mi
Nephrology
1077 GATEWAY LOOP
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 11 clinicians in this Medicare group
NPI 1073534004 (541) 485-6478

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

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

Peace Harbor Medical Center

Critical Access Hospitals · Florence, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381316
Location400 9th StreetFlorence, OR 97439 · Lane County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

MR. RAGHAV BASSI M.D.
Student in an Organized Health Care Education/Training Program
7485 SW 17TH ROAD
GAINESVILLE, FL 32607
Alachua County (352) 333-5700
MRS. YESHIKA THAPA M.D.
Student in an Organized Health Care Education/Training Program
7485 SW 17TH ROAD
GAINESVILLE, FL 32607
Alachua County (352) 333-5700
AMNA KHALID M.D.
Student in an Organized Health Care Education/Training Program
7485 SW 17TH ROAD
GAINESVILLE, FL 32607
Alachua County (352) 339-5980
MR. ABDALLAH LOU'AI ABDALLAH RAYYAN M.D.
Student in an Organized Health Care Education/Training Program
7485 SW 17TH ROAD
GAINESVILLE, FL 32607
Alachua County (352) 333-5700
MRS. BINITA TIMILSINA MD
Student in an Organized Health Care Education/Training Program
7485 SW 17TH ROAD
GAINESVILLE, FL 32607
Alachua County (352) 333-5700
OBADA MAHMOUD ABUSURRAH M.D.
Student in an Organized Health Care Education/Training Program
7485 SW 17TH ROAD
GAINESVILLE, FL 32607
Alachua County (352) 333-5196

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 Pranav Prakash's NPI number?

The NPI number for Pranav Prakash is 1275108953. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Pranav Prakash located?

Pranav Prakash practices at 7485 SW 17th Road, Gainesville, FL 32607. The listed phone number is (352) 333-5700.

What is Pranav Prakash's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pranav Prakash enrolled in Medicare?

Yes. Pranav Prakash 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 organization bills Medicare for Pranav Prakash's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pranav Prakash reassigns Medicare benefits to Eugene Springfield Nephrology Associates, PC (Springfield, OR). The 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 Pranav Prakash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pranav Prakash accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Pranav Prakash 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 Pranav Prakash affiliated with any hospitals?

According to CMS data, Pranav Prakash is affiliated with Peace Harbor Medical Center.

When was this NPI record last updated?

The NPPES record for Pranav Prakash was last updated on February 7, 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.