PRAVEEN ANCHALA MD
NPI 1548571789
Radiology - Diagnostic Radiology in San Jose, CA
About Praveen Anchala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAVEEN ANCHALA MD (NPI 1548571789) is an individual diagnostic radiology provider in San Jose, California, licensed in California (A117755) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Praveen Anchala 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.
Medicare Billing Reassignment
Medicare enrollment records show Praveen Anchala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
- 2,460 clinicians in this Medicare group
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 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Praveen Anchala's NPI number?
The NPI number for Praveen Anchala is 1548571789. It was assigned to this individual provider in the NPPES registry on June 22, 2010.
Where is Praveen Anchala located?
Praveen Anchala practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5000.
What is Praveen Anchala's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Praveen Anchala enrolled in Medicare?
Yes. Praveen Anchala 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 Praveen Anchala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Anchala reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). 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 Praveen Anchala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Praveen Anchala accept?
Health plans from Blue Cross and Blue Shield of Texas list Praveen Anchala 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 Praveen Anchala was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Praveen Anchala, MD · NPI 1548571789
Diagnostic Radiology physician in San Jose, California. Individual provider, active in the CMS NPPES registry since June 22, 2010.
## Identity
- **NPI:** 1548571789 (Entity type: Individual)
- **Enumerated:** June 22, 2010
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A117755 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 751 S BASCOM AVE, San Jose, CA 95128-2604
- **Phone:** (408) 885-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Santa Clara (NPI 1154906634, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern University Feinberg Medical School, class of 2010
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548571789) · Data from the CMS NPPES public registry.