PRAGNESH H GADHVI M.D.
NPI 1306865571
Specialist in Union City, NJ

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
PRAGNESH GADHVI BARNABAS HEALTH MEDICAL GROUP, 500 SUMMIT AVENUE, UNION CITY, NJ 07087(201) 792-1600(201) 499-7651 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pragnesh H Gadhvi M.d. NPPES

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

PRAGNESH H GADHVI M.D. (NPI 1306865571) is an individual specialist in Union City, New Jersey, licensed in New York (233104-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1306865571
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NamePRAGNESH H GADHVICredential: M.D.
Location AddressPRAGNESH GADHVI BARNABAS HEALTH MEDICAL GROUP, 500 SUMMIT AVENUEUnion City, NJ 07087-0708
Mailing Address353 E 17th St, Unit 19bNew York, NY 10003-3821 · (212) 434-2606 · Fax (646) 414-1363
Fax(201) 499-7651
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 18, 2024
NPPES CertifiedJune 3, 2021
NPI 1306865571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 233104-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA08262000 (NJ)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 25MA08262000 (NJ)
PRAGNESH GADHVI BARNABAS HEALTH MEDICAL GROUP, Union City, NJ 07087

Other Identifiers 1

Medicaid2738705NY

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

Pragnesh H Gadhvi 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.

PECOS PAC ID2961429907
PECOS Enrollment IDI20070806000282
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.

Areas of Expertise CMS Part B claims 23

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
920 services636 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
478 services223 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
307 services210 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
123 services123 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
61 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services35 patients

Hospital Affiliations CMS Care Compare

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

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%43 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%43 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%51 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Pragnesh Gadhvi's NPI number?

The NPI number for Pragnesh Gadhvi is 1306865571. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Pragnesh Gadhvi located?

Pragnesh Gadhvi practices at Pragnesh Gadhvi Barnabas Health Medical Group 500 Summit Avenue, Union City, NJ 07087. The listed phone number is (201) 792-1600.

What is Pragnesh Gadhvi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pragnesh Gadhvi enrolled in Medicare?

Yes. Pragnesh Gadhvi 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 Pragnesh Gadhvi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pragnesh Gadhvi 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 Pragnesh Gadhvi affiliated with any hospitals?

According to CMS data, Pragnesh Gadhvi is affiliated with Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Pragnesh Gadhvi was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.