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PRAGYAN PATRO MD
NPI 1457307092
Internal Medicine in Kentwood, MI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
4444 KALAMAZOO AVE SE STE 200, KENTWOOD, MI 49508(616) 391-5600 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2023, May 15, 2023, Sep 9, 2019 and 2 more (5 updates tracked since 2016).

About Pragyan Patro Md NPPES

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

PRAGYAN PATRO MD (NPI 1457307092) is an individual internal medicine provider in Kentwood, Michigan, licensed in Michigan (4301073844) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1457307092
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAGYAN PATROCredential: MD
Location Address4444 KALAMAZOO AVE SE STE 200Kentwood, MI 49508-4600
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 14, 20235 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1457307092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301073844
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4444 KALAMAZOO AVE SE STE 200, Kentwood, MI 49508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pragyan Patro 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 ID5698802569
PECOS Enrollment IDI20230530002078
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.

Areas of Expertise CMS Part B claims 2

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.
53 services33 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49508 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims60 services$6.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims18 services$1.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

AMBER PAIGE GALL NP
Nurse Practitioner
4444 KALAMAZOO AVE SE STE 200
KENTWOOD, MI 49508
Kent County (616) 391-5600
KELSIE ANNE FIRN PA
Physician Assistant
4444 KALAMAZOO AVE SE STE 200
KENTWOOD, MI 49508
Kent County (616) 391-5600
MARGARET ELLEN LOVE MD
Internal Medicine
4444 KALAMAZOO AVE SE STE 200
GRAND RAPIDS, MI 49508
Kent County (616) 391-5600
KRYSTAL JILL AUERNHAMER PA
Physician Assistant (Medical)
4444 KALAMAZOO AVE SE STE 200
KENTWOOD, MI 49508
Kent County (616) 391-5600
JENNIFER KAY BARONE FNP
Nurse Practitioner (Family)
4444 KALAMAZOO AVE SE STE 200
KENTWOOD, MI 49508
Kent County (616) 391-5600
BRIAN THOMAS GAVIN MD
Internal Medicine
4444 KALAMAZOO AVE SE STE 200
GRAND RAPIDS, MI 49508
Kent County (616) 391-5600
DEREK OLSON DO
Internal Medicine
4444 KALAMAZOO AVE SE STE 200
KENTWOOD, MI 49508
Kent County (616) 391-5600

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 Pragyan Patro's NPI number?

The NPI number for Pragyan Patro is 1457307092. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Pragyan Patro located?

Pragyan Patro practices at 4444 Kalamazoo Ave SE Ste 200, Kentwood, MI 49508. The listed phone number is (616) 391-5600.

What is Pragyan Patro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pragyan Patro enrolled in Medicare?

Yes. Pragyan Patro 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.

What insurance does Pragyan Patro accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Pragyan Patro 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 Pragyan Patro affiliated with any hospitals?

According to CMS data, Pragyan Patro is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Pragyan Patro was last updated on July 14, 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.