PRAGNESHKUMAR MISTRY MD
NPI 1639423023
Pediatrics in Weston, WV

Q: What is Pragneshkumar Mistry's NPI number?

The NPI number for Pragneshkumar Mistry is 1639423023. It was assigned to this individual provider in the NPPES registry on November 6, 2012. The provider is also known as Pragnesh Mistry.

Q: What is Pragneshkumar Mistry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 06, 2012PECOS Enrolled

251 W 2ND ST, WESTON, WV 26452(304) 517-1066 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2021, May 9, 2019 (2 updates tracked since 2019).

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About Pragneshkumar Mistry Md NPPES

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

PRAGNESHKUMAR MISTRY MD (NPI 1639423023) is an individual pediatrics provider in Weston, West Virginia, licensed in California (A156621) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639423023

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NamePRAGNESHKUMAR MISTRYCredential: MD

Location Address251 W 2ND STWeston, WV 26452-1602

Mailing Address232 Us Highway 33 WWeston, WV 26452-7306

Phone(304) 517-1066

Sole ProprietorNo

Enumeration DateNovember 6, 2012

Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration

NPPES CertifiedDecember 22, 2021

✔ NPI 1639423023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A156621

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

251 W 2ND ST, Weston, WV 26452

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Other Names 1

Other Name (5)Pragnesh Mistry

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pragneshkumar Mistry Md 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 Reassignment

Medicare enrollment records show Pragneshkumar Mistry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

2,084 mi

Health Maintenance Organization

4647 ZION AVE
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1225060742 (619) 528-5000

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 26452 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

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 Pragneshkumar Mistry's NPI number?

The NPI number for Pragneshkumar Mistry is 1639423023. It was assigned to this individual provider in the NPPES registry on November 6, 2012. The provider is also known as Pragnesh Mistry.

Where is Pragneshkumar Mistry located?

Pragneshkumar Mistry practices at 251 W 2nd St, Weston, WV 26452. The listed phone number is (304) 517-1066.

What is Pragneshkumar Mistry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pragneshkumar Mistry enrolled in Medicare?

Yes. Pragneshkumar Mistry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pragneshkumar Mistry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pragneshkumar Mistry reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Pragneshkumar Mistry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pragneshkumar Mistry was last updated on December 22, 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.