PRATICHI KOTHARI GOENKA M.D.
NPI 1326231838
Pediatrics in New Hyde Park, NY

Active since August 20, 2007PECOS Enrolled
91.25/100
CMS Quality Rating
26901 76TH AVE, CCMC, GME OFFICE, STE. 003, NEW HYDE PARK, NY 11040(631) 745-5659 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pratichi Kothari Goenka M.d. NPPES

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

PRATICHI KOTHARI GOENKA M.D. (NPI 1326231838) is an individual pediatrics provider in New Hyde Park, New York, licensed in Pennsylvania (MT190621) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326231838
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRATICHI KOTHARI GOENKACredential: M.D.
Location Address26901 76TH AVE, CCMC, GME OFFICE, STE. 003New Hyde Park, NY 11040-1433
Mailing Address26901 76th Ave, Ccmc, Gme Office, Ste. 003New Hyde Park, NY 11040-1433 · (631) 745-5659
Sole ProprietorNo
Enumeration DateAugust 20, 2007
Last NPPES UpdateJuly 30, 2014
NPI 1326231838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in PA · MT190621 Licensed in NY · 261026-1 Licensed in NJ · 25MA09227800 Licensed in PA · MD439291
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.
26901 76TH AVE, New Hyde Park, NY 11040

Other Names 1

Former Name (1)Pratichi Kothari M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pratichi Kothari Goenka M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Pharmacist
26901 76TH AVE
NEW HYDE PARK, NY 11040
Student in an Organized Health Care Education/Training Program
26901 76TH AVE
NEW HYDE PARK, NY 11040
Pediatrics
26901 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Practitioner (Family)
26901 76TH AVE
NEW HYDE PARK, NY 11040
Student in an Organized Health Care Education/Training Program
26901 76TH AVE
NEW HYDE PARK, NY 11040
Pediatrics (Neonatal-Perinatal Medicine)
26901 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Practitioner (Neonatal)
26901 76TH AVE, SUITE 344
NEW HYDE PARK, NY 11040
Anesthesiology
26901 76TH AVE
NEW HYDE PARK, NY 11040

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 Pratichi Goenka's NPI number?

The NPI number for Pratichi Goenka is 1326231838. It was assigned to this individual provider in the NPPES registry on August 20, 2007. The provider is also known as Pratichi Kothari M.D..

Where is Pratichi Goenka located?

Pratichi Goenka practices at 26901 76th Ave Ccmc, Gme Office, Ste. 003, New Hyde Park, NY 11040. The listed phone number is (631) 745-5659.

What is Pratichi Goenka's specialty?

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

Is Pratichi Goenka enrolled in Medicare?

Yes. Pratichi Goenka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pratichi Goenka was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.