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GINA PRAKASH M.D.
NPI 1659639573
Internal Medicine - Rheumatology in Plant City, FL

Active since April 28, 2012PECOS EnrolledAccepts Medicare Assignment
1601 W REYNOLDS ST STE 102, PLANT CITY, FL 33563(813) 588-4201(813) 588-4203 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2025, Apr 6, 2023, Dec 12, 2019 and 3 more (6 updates tracked since 2017).

About Gina Prakash M.d. NPPES

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

GINA PRAKASH M.D. (NPI 1659639573) is an individual rheumatology provider in Plant City, Florida, licensed in Florida (ME133988) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Riverview.

NPPES Registry Identity

NPI1659639573
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameGINA PRAKASHCredential: M.D.
Location Address1601 W REYNOLDS ST STE 102Plant City, FL 33563-4708
Mailing Address1601 W Reynolds St Ste 102Plant City, FL 33563-4708 · (813) 588-4201 · Fax (813) 588-4203
Phone(813) 588-4201
Fax(813) 588-4203
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 28, 2012
Last NPPES UpdateFebruary 20, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1659639573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME133988
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1601 W REYNOLDS ST STE 102, Plant City, FL 33563
Open in Google Maps ↗

Other Names 1

Former Name (1)Nagina Kushwaha M.d.

Secondary Practice Location 1

Location 110420 US Highway 301 S Ste 102Riverview, FL 33578-5806 · Phone (813) 588-4201 · Fax (813) 588-4203

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Gina Prakash 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 ID7911214481
PECOS Enrollment IDI20180109002663
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 3

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.
161 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33563 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%59 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOELLE MUSELLA APRN, RN
Nurse Practitioner (Family)
1601 W REYNOLDS ST STE 102
PLANT CITY, FL 33563
Hillsborough County (813) 588-4201
HEALING RHEUMATOLOGY, LLC
Non-Pharmacy Dispensing Site
1601 W REYNOLDS ST STE 102
PLANT CITY, FL 33563
Hillsborough County (813) 588-4201

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 Gina Prakash's NPI number?

The NPI number for Gina Prakash is 1659639573. It was assigned to this individual provider in the NPPES registry on April 28, 2012. The provider is also known as Nagina Kushwaha M.D..

Where is Gina Prakash located?

Gina Prakash practices at 1601 W Reynolds St Ste 102, Plant City, FL 33563. The listed phone number is (813) 588-4201.

What is Gina Prakash's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gina Prakash enrolled in Medicare?

Yes. Gina Prakash 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.

What insurance does Gina Prakash accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Gina Prakash 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.

Is Gina Prakash affiliated with any hospitals?

According to CMS data, Gina Prakash is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Gina Prakash was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.