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PRAGATI TIKOO M.D.
NPI 1528368420
Internal Medicine in Newton, MA

Active since October 25, 2010PECOS EnrolledAccepts Medicare Assignment
29 CRAFTS ST STE 400, NEWTON, MA 02458(617) 964-7530(617) 964-2667 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 18, 2021, Mar 17, 2018, Dec 14, 2017 (3 updates tracked since 2017).

About Pragati Tikoo M.d. NPPES

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

PRAGATI TIKOO M.D. (NPI 1528368420) is an individual internal medicine provider in Newton, Massachusetts, licensed in Massachusetts (247135) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1528368420
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAGATI TIKOOCredential: M.D.
Location Address29 CRAFTS ST STE 400Newton, MA 02458-1393
Mailing Address11913 Ne 195th StBothell, WA 98011-3147 · (425) 489-3100 · Fax (425) 489-3183
Phone(617) 964-7530
Fax(617) 964-2667
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 25, 2010
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1528368420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 247135✔ Licensed in WA · 60701866
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.
29 CRAFTS ST STE 400, Newton, MA 02458
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Pragati Tikoo M.d. 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 ID9638340045
PECOS Enrollment IDI20110915000230
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.

Hospital Affiliations CMS Care Compare

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02458 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 2

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

MASROQUE MUSA PA
Physician Assistant
29 CRAFTS ST STE 400
NEWTON, MA 02458
Middlesex County (617) 964-7530
HANNAH J FOLK PHYSICIAN ASSISTANT
Physician Assistant
29 CRAFTS ST STE 400
NEWTON, MA 02458
Middlesex County (508) 897-6040

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 Pragati Tikoo's NPI number?

The NPI number for Pragati Tikoo is 1528368420. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Pragati Tikoo located?

Pragati Tikoo practices at 29 Crafts St Ste 400, Newton, MA 02458. The listed phone number is (617) 964-7530.

What is Pragati Tikoo's specialty?

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

Is Pragati Tikoo enrolled in Medicare?

Yes. Pragati Tikoo 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 Pragati Tikoo accept?

Health plans from Anthem Blue Cross and Blue Shield list Pragati Tikoo 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 Pragati Tikoo affiliated with any hospitals?

According to CMS data, Pragati Tikoo is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Pragati Tikoo was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.