PRERNA SINHA MBBS
NPI 1427255025
Pediatrics in Rochester, MN

Active since June 28, 2007PECOS Enrolled
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 17, 2026, Mar 7, 2023, Aug 20, 2020 and 1 more (4 updates tracked since 2020).

About Prerna Sinha Mbbs NPPES

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

PRERNA SINHA MBBS (NPI 1427255025) is an individual pediatrics provider in Rochester, Minnesota, licensed in Minnesota (67560) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1427255025
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRERNA SINHACredential: MBBS
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1427255025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MN · 67560✔ Licensed in WI · 54787-20
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.
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Location 1

Location 19000 W Wisconsin Ave, PEDIATRIC SPECIAL NEEDSMilwaukee, WI 53226-4874 · Phone (414) 266-6943 · Fax (414) 266-2926

Other Identifiers 1

Medicaid1427255025WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prerna Sinha Mbbs 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 Reassignment

Medicare enrollment records show Prerna Sinha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 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 55905 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Prerna Sinha's NPI number?

The NPI number for Prerna Sinha is 1427255025. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Prerna Sinha located?

Prerna Sinha practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Prerna Sinha's specialty?

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

Is Prerna Sinha enrolled in Medicare?

Yes. Prerna Sinha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prerna Sinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prerna Sinha reassigns Medicare benefits to Mayo Clinic (Rochester, MN). 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 Prerna Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prerna Sinha accept?

Health plans from Medica list Prerna Sinha 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.

When was this NPI record last updated?

The NPPES record for Prerna Sinha was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.