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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADHURI PRAYAGA
NPI 1366128704
Family Medicine in New York, NY

Active since June 22, 2023PECOS Enrolled
55 E 34TH ST FL 5, NEW YORK, NY 10016(212) 252-6005 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Jun 22, 2023 (2 updates tracked since 2023).

About Madhuri Prayaga NPPES

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

MADHURI PRAYAGA (NPI 1366128704) is an individual family medicine provider in New York, New York, licensed in New York (347139) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366128704
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADHURI PRAYAGA
Location Address55 E 34TH ST FL 5New York, NY 10016-4337
Mailing Address55 E 34th St Fl 5New York, NY 10016-4337
Phone(212) 252-6005
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1366128704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 347139✔ Licensed in PA · OT022780
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
55 E 34TH ST FL 5, New York, NY 10016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhuri Prayaga 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 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 5

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

DR. ANDRES ORTEGA D.O.
Family Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (212) 252-6005
DR. DAVID HARRIS COUN MD
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (929) 210-6000
DR. ABIGAIL R CHEN M.D.
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (212) 252-6005
DR. MARISSA PEDRO DO
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (212) 252-6005
AVI RUBIN SONNENSCHEIN DO
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (212) 252-6005

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 Madhuri Prayaga's NPI number?

The NPI number for Madhuri Prayaga is 1366128704. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Madhuri Prayaga located?

Madhuri Prayaga practices at 55 E 34th St Fl 5, New York, NY 10016. The listed phone number is (212) 252-6005.

What is Madhuri Prayaga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madhuri Prayaga enrolled in Medicare?

Yes. Madhuri Prayaga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madhuri Prayaga was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.