PRITA MOHANTY MD
NPI 1386966984
Pediatrics - Pediatric Gastroenterology in Oakland, CA

Active since February 23, 2010PECOS Enrolled
75/100
CMS Quality Rating
747 52ND ST, OAKLAND, CA 94609(510) 428-3058(510) 450-5813 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prita Mohanty Md NPPES

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

PRITA MOHANTY MD (NPI 1386966984) is an individual pediatric gastroenterology provider in Oakland, California, licensed in California (A149337) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386966984
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NamePRITA MOHANTYCredential: MD
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address747 52nd StOakland, CA 94609-1809 · (510) 428-3058 · Fax (510) 450-5813
Fax(510) 450-5813
Sole ProprietorNo
Enumeration DateFebruary 23, 2010
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1386966984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in CA · A149337✔ Licensed in NY · 270600
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
747 52ND ST, Oakland, CA 94609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prita Mohanty Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Prita Mohanty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 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 94609 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609

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 Prita Mohanty's NPI number?

The NPI number for Prita Mohanty is 1386966984. It was assigned to this individual provider in the NPPES registry on February 23, 2010.

Where is Prita Mohanty located?

Prita Mohanty practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3058.

What is Prita Mohanty's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Prita Mohanty enrolled in Medicare?

Yes. Prita Mohanty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prita Mohanty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prita Mohanty reassigns Medicare benefits to 3 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). 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 Prita Mohanty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prita Mohanty was last updated on August 4, 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.