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PRAGNA AMBADI MD
NPI 1740856988
Internal Medicine in Chesterfield, MO

Active since May 28, 2021PECOS EnrolledAccepts Medicare Assignment
1187 PATCHWORK FLDS, CHESTERFIELD, MO 63005(314) 327-5794 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, May 28, 2021 (2 updates tracked since 2021).

About Pragna Ambadi Md NPPES

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

PRAGNA AMBADI MD (NPI 1740856988) is an individual internal medicine provider in Chesterfield, Missouri, licensed in Missouri (2021017908) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740856988
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAGNA AMBADICredential: MD
Location Address1187 PATCHWORK FLDSChesterfield, MO 63005-4561
Mailing Address1187 Patchwork FldsChesterfield, MO 63005-4561 · (314) 327-5794
Phone(314) 327-5794
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 28, 2021
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1740856988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2021017908
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1187 PATCHWORK FLDS, Chesterfield, MO 63005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Pragna Ambadi 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 ID1052846003
PECOS Enrollment IDI20241127001667
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

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.
44 services19 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63005 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 Pragna Ambadi's NPI number?

The NPI number for Pragna Ambadi is 1740856988. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Pragna Ambadi located?

Pragna Ambadi practices at 1187 Patchwork Flds, Chesterfield, MO 63005. The listed phone number is (314) 327-5794.

What is Pragna Ambadi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pragna Ambadi enrolled in Medicare?

Yes. Pragna Ambadi 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 Pragna Ambadi accept?

Health plans from Medica list Pragna Ambadi 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 Pragna Ambadi affiliated with any hospitals?

According to CMS data, Pragna Ambadi is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Pragna Ambadi was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.