GAURAV PRADEEP DIGHE M.D
NPI 1699115097
Psychiatry & Neurology - Neurology in Springfield, MO
About Gaurav Pradeep Dighe M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAURAV PRADEEP DIGHE M.D (NPI 1699115097) is an individual neurology provider in Springfield, Missouri, licensed in Missouri (2026019542) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and maintains a secondary practice location in Williamsport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gaurav Pradeep Dighe 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gaurav Dighe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Williamsport, PA 17701
- Reassigned Medicare billing, Pennsylvania enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Springfield
Acute Care Hospitals · Springfield, MOUpmc Williamsport
Acute Care Hospitals · Williamsport, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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 Gaurav Dighe's NPI number?
The NPI number for Gaurav Dighe is 1699115097. It was assigned to this individual provider in the NPPES registry on June 28, 2013.
Where is Gaurav Dighe located?
Gaurav Dighe practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-9123.
What is Gaurav Dighe's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Gaurav Dighe enrolled in Medicare?
Yes. Gaurav Dighe 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.
Which organizations bill Medicare for Gaurav Dighe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gaurav Dighe reassigns Medicare benefits to 2 organizations: Mercy Clinic Springfield Communities (Springfield, MO) and Susquehanna Physician Services (Williamsport, PA). 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 Gaurav Dighe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gaurav Dighe accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Gaurav Dighe 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 Gaurav Dighe affiliated with any hospitals?
According to CMS data, Gaurav Dighe is affiliated with Mercy Hospital Springfield and Upmc Williamsport.
When was this NPI record last updated?
The NPPES record for Gaurav Dighe was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Gaurav Pradeep Dighe, M.D · NPI 1699115097
Neurology physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since June 28, 2013.
## Identity
- **NPI:** 1699115097 (Entity type: Individual)
- **Enumerated:** June 28, 2013
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 2026019542 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1235 E CHEROKEE ST, Springfield, MO 65804-2203
- **Phone:** (417) 820-9123
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO); Susquehanna Physician Services (NPI 1629006606, Williamsport, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699115097) · Data from the CMS NPPES public registry.