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PRAJESH GONGAL M.D.
NPI 1609453406
Internal Medicine in Lebanon, NH

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-7515 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, Jun 11, 2024, Mar 26, 2021 (3 updates tracked since 2021).

About Prajesh Gongal M.d. NPPES

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

PRAJESH GONGAL M.D. (NPI 1609453406) is an individual internal medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (33137) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (2021).

NPPES Registry Identity

NPI1609453406
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAJESH GONGALCredential: M.D.
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000
Mailing Address601 Elmwood Avenue, Box679-aRochester, NY 14642 · (585) 275-4290 · Fax (585) 473-1573
Phone(603) 650-7515
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1609453406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NH · 33137
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 MEDICAL CENTER DR, Lebanon, NH 03756
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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

Prajesh Gongal 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 ID4688076193
PECOS Enrollment IDI20240618001903
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.
55 services54 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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

MRS. JANICE M BRENNAN APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Grafton County (603) 560-5000
MS. SHELLEY GRACE BENSON R.PH.
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5417
ELIAS LOUKAS M.D.
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Grafton County (603) 650-8380
SARAH S SEO MD
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Grafton County (603) 650-8123
DR. SRINIVAS J. IVATURY MD
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Grafton County (603) 650-8113
TIMOTHY EARLEY D.O.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (201) 694-0663
HANNAH ELIZABETH FOOTE BENSIMHON M.D.
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000
EMILE JOSEPH HASAN M.D.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000

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 Prajesh Gongal's NPI number?

The NPI number for Prajesh Gongal is 1609453406. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Prajesh Gongal located?

Prajesh Gongal practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-7515.

What is Prajesh Gongal's specialty?

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

Is Prajesh Gongal enrolled in Medicare?

Yes. Prajesh Gongal 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.

Is Prajesh Gongal affiliated with any hospitals?

According to CMS data, Prajesh Gongal is affiliated with Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prajesh Gongal was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.