PRACHI ASHOK BHOGAN MD
NPI 1427544840
Emergency Medicine in Johnstown, PA

Active since July 09, 2018PECOS Enrolled
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9104(814) 534-3559 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2019, Jul 9, 2018 (2 updates tracked since 2018).

About Prachi Ashok Bhogan Md NPPES

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

PRACHI ASHOK BHOGAN MD (NPI 1427544840) is an individual emergency medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MT216326) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427544840
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NamePRACHI ASHOK BHOGANCredential: MD
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 534-9104 · Fax (814) 534-3559
Fax(814) 534-3559
Sole ProprietorNo
Enumeration DateJuly 9, 2018
Last NPPES UpdateJune 18, 20192 updates tracked since enumeration
✔ NPI 1427544840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MT216326
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT216326 (PA)
1086 FRANKLIN ST, Johnstown, PA 15905

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)

Prachi Ashok Bhogan 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

2

Medicare enrollment records show Prachi Bhogan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
3961 E LOHMAN AVE
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 8 clinicians in this Medicare group
Multi-Specialty
2560 SAMARITAN DR
Las Cruces, NM 88001
  • Reassigned Medicare billing, New Mexico enrollment
  • 85 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services61 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905

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 Prachi Bhogan's NPI number?

The NPI number for Prachi Bhogan is 1427544840. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Prachi Bhogan located?

Prachi Bhogan practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9104.

What is Prachi Bhogan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Prachi Bhogan enrolled in Medicare?

Yes. Prachi Bhogan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prachi Bhogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prachi Bhogan reassigns Medicare benefits to 2 organizations: Covenant Clinics, LLC (Las Cruces, NM) and Three Crosses Regional Hospital LLC (Las Cruces, NM). 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 Prachi Bhogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prachi Bhogan accept?

Health plans from Blue Cross and Blue Shield of Texas list Prachi Bhogan 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 Prachi Bhogan was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.