PRANAY KUMAR REDDY LOKA MD
NPI 1659627925
Family Medicine in Shelby, NC

Q: What is Pranay Kumar Reddy Loka's NPI number?

The NPI number for Pranay Kumar Reddy Loka is 1659627925. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Q: What is Pranay Kumar Reddy Loka's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

201 E GROVER ST, SHELBY, NC 28150(980) 487-3678 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Dec 15, 2022 (3 updates tracked since 2022).

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About Pranay Kumar Reddy Loka Md NPPES

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

PRANAY KUMAR REDDY LOKA MD (NPI 1659627925) is an individual family medicine provider in Shelby, North Carolina, licensed in North Carolina (2016-00495) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1659627925

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePRANAY KUMAR REDDY LOKACredential: MD

Location Address201 E GROVER STShelby, NC 28150-3917

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(980) 487-3678

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 24, 2012

Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1659627925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2016-00495

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 2016-00495 (NC)

201 E GROVER ST, Shelby, NC 28150

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Secondary Practice Locations 4

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

Location 22001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

Location 38800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Location 410628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

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

Pranay Kumar Reddy Loka 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.

PECOS PAC ID4082906474

PECOS Enrollment IDI20160705001386

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

446 services156 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

169 services102 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

117 services114 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

40 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340021

Location201 E Grover StShelby, NC 28150 · Cleveland County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers16 claims16 services$60.67 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers41 claims41 services$64.13 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers60 claims60 services$113.06 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier17 claims17 services$26.22 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier53 claims53 services$35.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JUSTEN DANIEL WRIGHT PA-C

Physician Assistant (Medical)