DR. PRADIPTA GHOSH MD
NPI 1538219936
Internal Medicine - Rheumatology in Santa Clara, CA

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
710 LAWRENCE EXPY, DEPARTMENT 272, RHEUMATOLOGY, SANTA CLARA, CA 95051(408) 554-9800 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Pradipta Ghosh Md NPPES

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

DR. PRADIPTA GHOSH MD (NPI 1538219936) is an individual rheumatology provider in Santa Clara, California, licensed in California (A96208) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (2004).

NPPES Registry Identity

NPI1538219936
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. PRADIPTA GHOSHCredential: MD
Location Address710 LAWRENCE EXPY, DEPARTMENT 272, RHEUMATOLOGYSanta Clara, CA 95051-5173
Mailing Address710 Lawrence Expy, Department 272, RheumatologySanta Clara, CA 95051-5173 · (408) 554-9800
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2004
Enumeration DateJanuary 10, 2007
Last NPPES UpdateDecember 14, 2021
NPI 1538219936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in CA · A96208 Licensed in WA · MD60088193
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License A96208 (CA)
710 LAWRENCE EXPY, Santa Clara, CA 95051

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

Dr. Pradipta Ghosh 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 ID1850473570
PECOS Enrollment IDI20080201000494, I20110720000403
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95051 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051

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 Pradipta Ghosh's NPI number?

The NPI number for Pradipta Ghosh is 1538219936. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Pradipta Ghosh located?

Pradipta Ghosh practices at 710 Lawrence Expy Department 272, Rheumatology, Santa Clara, CA 95051. The listed phone number is (408) 554-9800.

What is Pradipta Ghosh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Pradipta Ghosh enrolled in Medicare?

Yes. Pradipta Ghosh 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.

When was this NPI record last updated?

The NPPES record for Pradipta Ghosh was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.