PRATIKA GOPARAJU
NPI 1417418310
Obstetrics & Gynecology in Montgomery, OH
About Pratika Goparaju NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRATIKA GOPARAJU (NPI 1417418310) is an individual obstetrics & gynecology provider in Montgomery, Ohio, licensed in Ohio (35.148970) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Pratika Goparaju 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.
Medicare Billing Reassignment
Medicare enrollment records show Pratika Goparaju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45242
- Reassigned Medicare billing, Ohio enrollment
- 1,102 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pratika Goparaju's NPI number?
The NPI number for Pratika Goparaju is 1417418310. It was assigned to this individual provider in the NPPES registry on March 26, 2019.
Where is Pratika Goparaju located?
Pratika Goparaju practices at 10506 Montgomery Rd Ste 204, Montgomery, OH 45242. The listed phone number is (513) 985-9017.
What is Pratika Goparaju's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Pratika Goparaju enrolled in Medicare?
Yes. Pratika Goparaju 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.
Which organization bills Medicare for Pratika Goparaju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pratika Goparaju reassigns Medicare benefits to Trihealth H LLC (Cincinnati, OH). The 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 Pratika Goparaju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pratika Goparaju accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Pratika Goparaju 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 Pratika Goparaju affiliated with any hospitals?
According to CMS data, Pratika Goparaju is affiliated with Bethesda North.
When was this NPI record last updated?
The NPPES record for Pratika Goparaju was last updated on September 22, 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.
# Pratika Goparaju · NPI 1417418310
Obstetrics & Gynecology physician in Montgomery, Ohio. Individual provider, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1417418310 (Entity type: Individual)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 35.148970 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 10506 MONTGOMERY RD STE 204, Montgomery, OH 45242-4400
- **Phone:** (513) 985-9017 · **Fax:** (513) 985-9036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trihealth H LLC (NPI 1548695638, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417418310) · Data from the CMS NPPES public registry.