PRAMOD PILANIA M.D.
NPI 1699817353
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Pramod Pilania's NPI number?

The NPI number for Pramod Pilania is 1699817353. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Pramod Pilania's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Pramod Pilania was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment

2927 N 5TH ST, PHILADELPHIA, PA 19133(215) 291-4957(484) 221-9130 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Pramod Pilania M.d. NPPES

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

PRAMOD PILANIA M.D. (NPI 1699817353) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD427506) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1699817353

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NamePRAMOD PILANIACredential: M.D.

Location Address2927 N 5TH STPhiladelphia, PA 19133-2800

Mailing Address932 Penn Avenue, 1st FloorWyomissing, PA 19610-3017 · (484) 513-3793 · Fax (484) 509-5122

Phone(215) 291-4957

Fax(484) 221-9130

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateFebruary 12, 2007

Last NPPES UpdateOctober 1, 2024

NPPES CertifiedOctober 1, 2024

✔ NPI 1699817353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MD427506

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2927 N 5TH ST, Philadelphia, PA 19133

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Secondary Practice Locations 2

Location 138 South 5th StreetReading, PA 19602-1049 · Phone (610) 374-7035 · Fax (610) 374-2508

Location 2932 Penn Ave Fl 1Wyomissing, PA 19610-3017 · Phone (484) 513-3793 · Fax (484) 509-5122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Pramod Pilania 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 ID2466460969

PECOS Enrollment IDI20060324000315

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 6

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.

208 services58 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

109 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

88 services40 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

61 services60 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

55 services30 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19133 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

LORI L REYES BS

Counselor (Mental Health)

2927 N 5TH ST
PHILADELPHIA, PA 19133

Philadelphia County (484) 221-9136

ALTAGRACIA RAMIREZ

Counselor (Mental Health)

2927 N 5TH ST, 2ND FLOOR
PHILADELPHIA, PA 19133

Philadelphia County (484) 221-9136

NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

2927 N 5TH ST, 2ND FLOOR
PHILADELPHIA, PA 19133

Philadelphia County (215) 291-4357

YVAN MARLIN MA

Counselor (Mental Health)

2927 N 5TH ST
PHILADELPHIA, PA 19133

Philadelphia County (484) 221-9136

KEONNA JANEEN MARTIN MS

Counselor

2927 N 5TH ST, SUITE 103
PHILADELPHIA, PA 19133

Philadelphia County (215) 634-6400

DOMINGA PENA BS

Counselor (Mental Health)

2927 N 5TH ST
PHILADELPHIA, PA 19133

Philadelphia County (484) 221-9136

DAVID CUEVAS MA

Counselor (Mental Health)

2927 N 5TH ST
PHILADELPHIA, PA 19133

Philadelphia County (484) 221-9136

NATIVIDAD MELO BA

Counselor (Mental Health)

2927 N 5TH ST
PHILADELPHIA, PA 19133

Philadelphia County (484) 221-9136

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 Pramod Pilania's NPI number?

The NPI number for Pramod Pilania is 1699817353. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Pramod Pilania located?

Pramod Pilania practices at 2927 N 5th St, Philadelphia, PA 19133. The listed phone number is (215) 291-4957.

What is Pramod Pilania's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pramod Pilania enrolled in Medicare?

Yes. Pramod Pilania 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 Pramod Pilania accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pramod Pilania 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 Pramod Pilania was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.