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PRACHI HANWATKAR DDS MPH
NPI 1629375506
Dentist - General Practice in Rochester, NY

Active since February 11, 2011PECOS Enrolled
1425 PORTLAND AVENUE, ROCHESTER, NY 14621(585) 922-4282(585) 276-0293 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2017, Jan 25, 2016 (2 updates tracked since 2016).

About Prachi Hanwatkar Dds Mph NPPES

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

PRACHI HANWATKAR DDS MPH (NPI 1629375506) is an individual general practice provider in Rochester, New York, licensed in New York (058345) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629375506
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePRACHI HANWATKARCredential: DDS MPH
Location Address1425 PORTLAND AVENUERochester, NY 14621
Mailing Address1425 Portland AvenueRochester, NY 14621 · (585) 922-4000 · Fax (585) 276-0293
Phone(585) 922-4282
Fax(585) 276-0293
Sole ProprietorNo
Enumeration DateFebruary 11, 2011
Last NPPES UpdateFebruary 17, 20172 updates tracked since enumeration
✔ NPI 1629375506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 058345
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1425 PORTLAND AVENUE, Rochester, NY 14621
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prachi Hanwatkar Dds Mph 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

3

Medicare enrollment records show Prachi Hanwatkar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.1 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
The Unity Hospital Of Rochester
0.9 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900
Clifton Springs Sanitarium Co
28 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561

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 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

MR. JEFFREY CALEB HAYNES MD
Radiology (Radiation Oncology)
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4031
MS. MATHANGI MURALI M.B.B.S.
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4829
SHAZIA JANMUHAMMAD MD
Family Medicine
1425 PORTLAND AVENUE, WILSON BUILDING
ROCHESTER, NY 14621
Monroe County (585) 254-1850
MUHAMMAD UMER MUKHTAR MD
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ROCHESTER GENERAL HOSPITAL
General Acute Care Hospital
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-1738
DESIREE FRANCESCHI
Hospitalist
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4829
JOHN SHRESTHA
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
MR. SURAJ SHRESTHA M.B.B.S.
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Monroe County (585) 922-4829

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 Prachi Hanwatkar's NPI number?

The NPI number for Prachi Hanwatkar is 1629375506. It was assigned to this individual provider in the NPPES registry on February 11, 2011.

Where is Prachi Hanwatkar located?

Prachi Hanwatkar practices at 1425 Portland Avenue, Rochester, NY 14621. The listed phone number is (585) 922-4282.

What is Prachi Hanwatkar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Prachi Hanwatkar enrolled in Medicare?

Yes. Prachi Hanwatkar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prachi Hanwatkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prachi Hanwatkar reassigns Medicare benefits to 3 organizations: Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY) and Clifton Springs Sanitarium Co (Clifton Springs, NY). 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 Prachi Hanwatkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prachi Hanwatkar accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Prachi Hanwatkar 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 Prachi Hanwatkar was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.