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PRITHA DHUNGANA MD
NPI 1447323266
Psychiatry & Neurology - Psychiatry in Clermont, FL

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
835 OAKLEY SEAVER DRIVE, BLDG J, CLERMONT, FL 34711(352) 330-2020(352) 330-2020 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pritha Dhungana Md NPPES

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

PRITHA DHUNGANA MD (NPI 1447323266) is an individual psychiatry provider in Clermont, Florida, licensed in Florida (ME 93964) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1447323266
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePRITHA DHUNGANACredential: MD
Location Address835 OAKLEY SEAVER DRIVE, BLDG JClermont, FL 34711
Mailing Address2397 E County Road 466, OxfordOxford, FL 34484-3317 · (352) 330-2020 · Fax (352) 360-6582
Phone(352) 330-2020
Fax(352) 330-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 17, 2006
Last NPPES UpdateFebruary 21, 2008
✔ NPI 1447323266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME 93964
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.
835 OAKLEY SEAVER DRIVE, Clermont, FL 34711
Open in Google Maps ↗

Other Identifiers 1

OtherME93964FL · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Pritha Dhungana Md 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 ID3678572724
PECOS Enrollment IDI20061219000119
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 Pritha Dhungana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Health Center PA
Same address
Adult Mental Health
835 OAKLEY SEAVER DR
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1568630879 (352) 241-9282

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 7

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.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868
This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.
683 services24 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
538 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
528 services117 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
150 services43 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
66 services66 patients
Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management 90867
This treatment involves using a magnetic field to stimulate nerve cells in the brain. It's a non-invasive procedure, meaning no surgery is required. The aim is to improve symptoms of certain mental health conditions. Initial delivery and management refers to the start of your treatment plan.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Pritha Dhungana's NPI number?

The NPI number for Pritha Dhungana is 1447323266. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Pritha Dhungana located?

Pritha Dhungana practices at 835 Oakley Seaver Drive Bldg J, Clermont, FL 34711. The listed phone number is (352) 330-2020.

What is Pritha Dhungana's specialty?

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

Is Pritha Dhungana enrolled in Medicare?

Yes. Pritha Dhungana 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 Pritha Dhungana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pritha Dhungana reassigns Medicare benefits to Serenity Health Center PA (Clermont, FL). 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 Pritha Dhungana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pritha Dhungana accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Pritha Dhungana 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 Pritha Dhungana was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.