PREM NATH PATHAK MBBS
NPI 1417187907
Psychiatry & Neurology - Psychiatry in Bismarck, ND

Q: What is Prem Pathak's NPI number?

The NPI number for Prem Pathak is 1417187907. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Q: What is Prem Pathak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Prem Pathak was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment

1800 E INTERSTATE AVE STE B, BISMARCK, ND 58503(701) 323-6543(701) 323-5492 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2022, Aug 21, 2020, Jul 7, 2017 (3 updates tracked since 2017).

On this page

About Prem Nath Pathak Mbbs NPPES

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

PREM NATH PATHAK MBBS (NPI 1417187907) is an individual psychiatry provider in Bismarck, North Dakota, licensed in North Dakota (12788) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bismarck, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1417187907

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NamePREM NATH PATHAKCredential: MBBS

Location Address1800 E INTERSTATE AVE STE BBismarck, ND 58503-1566

Mailing AddressP.o. Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585

Phone(701) 323-6543

Fax(701) 323-5492

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 20, 2009

Last NPPES UpdateApril 4, 20223 updates tracked since enumeration

NPPES CertifiedApril 4, 2022

✔ NPI 1417187907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in ND · 12788

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116020790 (VA)

1800 E INTERSTATE AVE STE B, Bismarck, ND 58503

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Secondary Practice Location 1

Location 1Sanford Seventh & Rosser Clinic 414 N 7th StBismarck, ND 58501-4423 · Phone (701) 323-6543

Other Identifiers 1

Medicaid1451039ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan.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

Prem Nath Pathak Mbbs 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 ID7315182482

PECOS Enrollment IDI20140311001007, I20260128001690

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 Prem Pathak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Bismarck

2.7 mi

Multi-Specialty

565 S 7TH ST
Bismarck, ND 58504

Reassigned Medicare billing, North Dakota and New York enrollments
779 clinicians in this Medicare group

NPI 1811941172 (701) 323-5550

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 58503 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

$168.12 typical visit price

range $55.75 – $168.12

Typical copayment $42.03 (range $13.93 – $42.03)

Most-billed visit code 99205

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

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 8

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

NICOLE L CROSS-HILLMAN PSY.D.

Psychologist