PRAFULLA MARTIN-GARG MD, FAAP NPI 1437168721

Pediatrics in Logan, UT

NPI 1437168721 Individual Female Pediatrics PECOS Enrolled

About PRAFULLA MARTIN-GARG

Prafulla Martin-garg is a pediatrician established in Logan, Utah and her medical specialization is pediatrics. The NPI number of Prafulla Martin-garg is 1437168721 and was assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number 51468161205 (UT). The provider is registered as an individual and her NPI record was last updated 13 years ago.

A pediatrician like Prafulla Martin-garg Md, Faap is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Prafulla Martin-garg is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Prafulla Martin-garg is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1437168721

Provider Name PRAFULLA MARTIN-GARG MD, FAAP
Provider Location Address1350 N 500 E LOGAN, UT 84341
Provider Mailing Address1350 N 500 E LOGAN, UT 84341
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-05-2006
Last Update Date07-17-2008


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.51468161205
License StateUT
Taxonomy DescriptionA 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.

Business Address

PRAFULLA MARTIN-GARG MD, FAAP
1350 N 500 E
LOGAN, UT
ZIP 84341
Phone: (435) 792-1940

Get Directions


Mailing Address

PRAFULLA MARTIN-GARG MD, FAAP
1350 N 500 E
LOGAN, UT
ZIP 84341
Phone: (435) 792-1940



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000063255MEDICARE PIN (08)UT
H72434MEDICARE UPIN (02)UT

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295707677 COREY WYN WALKER M.D.
Individual
Internal Medicine (Rheumatology)1350 N 500 E
LOGAN, UT 84341
(435) 792-1518
1144234659 NORDELL T BROWN MD
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1710991344 ALLAN DAVID ANDERSON MD
Individual
Surgery1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1699789222 TIMOTHY M ANDERSON MD
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1154335651 JAMES P BENEDICT MD
Individual
Obstetrics & Gynecology1350 N 500 E
LOGAN, UT 84341
(435) 792-1920
1902812829 DERREL W CLARKE MD
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1639188956 SHERYL ROPER PNP
Individual
Nurse Practitioner1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1063422483 CYNTHIA C WHITE CD
Individual
Dietitian, Registered1350 N 500 E
LOGAN, UT 84341
(435) 792-1682
1760492219 JEFFREY M HUFFMAN MD
Individual
Internal Medicine1350 N 500 E
LOGAN, UT 84341
(435) 792-1980
1588674055 JEFFREY S KEYSER MD
Individual
Otolaryngology1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1033129523 ROBERT M NASH MD
Individual
Internal Medicine1350 N 500 E
LOGAN, UT 84341
(435) 792-1980
1477563864 JOHN DENNIS ODELL MD
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1689684094 MICHAEL J STONES MD
Individual
Internal Medicine1350 N 500 E
LOGAN, UT 84341
(435) 792-1980
1902816317 CHARLES T SWALLOW MD
Individual
Urology1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1942210364 BARTLEY M WEISS MD
Individual
Surgery1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1154331585 KIMBERLY D MCCULLOCH MD
Individual
Obstetrics & Gynecology1350 N 500 E
LOGAN, UT 84341
(435) 792-1920
1003826439 E BRETT HORSLEY DO
Individual
Obstetrics & Gynecology1350 N 500 E
LOGAN, UT 84341
(435) 792-1920
1407910938 JEFFREY WAYNE BENSON
Individual
Pharmacist1350 N 500 E
LOGAN, UT 84341
(435) 792-1521
1811038060DR. MICHAEL S CALLISTER M.D.
Individual
Urology1350 N 500 E
LOGAN, UT 84341
(435) 752-0422
1508994781IHC HEALTH SERVICES INC
Organization
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 752-0422

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.