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DR. SOMA PRADHAN M.D.
NPI 1609067016
Obstetrics & Gynecology in Maysville, KY

Active since August 09, 2007PECOS Enrolled
927 KENTON STATION DR, MAYSVILLE, KY 41056(606) 759-5331(606) 759-5363 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Soma Pradhan M.d. NPPES

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

DR. SOMA PRADHAN M.D. (NPI 1609067016) is an individual obstetrics & gynecology provider in Maysville, Kentucky, licensed in Kentucky (43329) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609067016
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SOMA PRADHANCredential: M.D.
Location Address927 KENTON STATION DRMaysville, KY 41056-9617
Mailing AddressPo Box 550Vanceburg, KY 41179-0550 · (606) 796-3029 · Fax (606) 796-6221
Phone(606) 759-5331
Fax(606) 759-5363
Sole ProprietorNo
Enumeration DateAugust 9, 2007
Last NPPES UpdateNovember 30, 2011
✔ NPI 1609067016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in KY · 43329✔ Licensed in LA · 56310
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
927 KENTON STATION DR, Maysville, KY 41056
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Other Identifiers 4

Medicaid7100121250KY
Medicaid1459356LA
Medicaid3078084OH
Medicare PINP400020144

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soma Pradhan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Soma Pradhan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Virginia, LLC
345 mi
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 100
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 315 clinicians in this Medicare group
NPI 1972807394 (800) 967-2289
River City Ob/Gyn, P.C.
345 mi
Obstetrics & Gynecology
13700 ST FRANCIS BLVD STE 603
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: River City Ob/Gyn PC
  • 11 clinicians in this Medicare group
NPI 1417447657 (540) 345-3556
Virginia Physicians For Women Ltd
347 mi
Obstetrics & Gynecology
1212 KOGER CENTER BLVD
North Chesterfield, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • 90 clinicians in this Medicare group
NPI 1639137979 (804) 897-2100
Virginia Womens Center Inc
349 mi
Specialist
7130 GLEN FOREST DR, SUITE 101
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 59 clinicians in this Medicare group
NPI 1740594332 (804) 288-4084

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41056 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

ELIZABETH BLAIR LYKINS PHARMD
Pharmacist
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-1189
MRS. ASHLEY SMITH APRN
Nurse Practitioner (Family)
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
DR. DAVID W DOTY D.O.
Obstetrics & Gynecology
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-5331
KATHRYN POE EGAN A.R.N.P.
Nurse Practitioner (Family)
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
SYLVIA KERR APRN-CNM
Advanced Practice Midwife
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-5331
MRS. KIRBY BUERKLEY ROSS APRN
Nurse Practitioner (Family)
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
ALLISON ELIZABETH LANDRETH APRN
Nurse Practitioner (Family)
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
RAE JEAN JESSEE APRN
Nurse Practitioner (Family)
927 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433

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 Soma Pradhan's NPI number?

The NPI number for Soma Pradhan is 1609067016. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Soma Pradhan located?

Soma Pradhan practices at 927 Kenton Station Dr, Maysville, KY 41056. The listed phone number is (606) 759-5331.

What is Soma Pradhan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Soma Pradhan enrolled in Medicare?

Yes. Soma Pradhan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Soma Pradhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soma Pradhan reassigns Medicare benefits to 4 organizations: Obhg Virginia, LLC (Midlothian, VA), River City Ob/Gyn, P.C. (Midlothian, VA), Virginia Physicians For Women Ltd (North Chesterfield, VA) and Virginia Womens Center Inc (Richmond, VA). Each 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 Soma Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soma Pradhan accept?

Health plans from Oscar Insurance Company list Soma Pradhan 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 Soma Pradhan was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.