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PRAVIN SINGHAL MD
NPI 1821167107
Internal Medicine - Nephrology in New Hyde Park, NY

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 465-5260 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pravin Singhal Md NPPES

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

PRAVIN SINGHAL MD (NPI 1821167107) is an individual nephrology provider in New Hyde Park, New York, licensed in New York (157951) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1821167107
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePRAVIN SINGHALCredential: MD
Location Address410 LAKEVILLE RDNew Hyde Park, NY 11042-1101
Mailing Address410 Lakeville RdNew Hyde Park, NY 11042-1101 · (516) 465-5260
Phone(516) 465-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821167107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 157951
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
410 LAKEVILLE RD, New Hyde Park, NY 11042
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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

Pravin Singhal 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 ID8022188861
PECOS Enrollment IDI20080605000023
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 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.
152 services77 patients
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.
86 services54 patients
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.
42 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers40 claims4,590 services$0.28 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims3,300 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims840 services$0.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers32 claims32 services$18.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers61 claims61 services$11.58 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.

DR. SHAUN DAVID RODGERS M.D.
Neurological Surgery
410 LAKEVILLE RD, SUITE 204
NEW HYDE PARK, NY 11042
Nassau County (516) 354-3401
FELICIA GLIKSMAN D.O.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
410 LAKEVILLE RD, SUITE 105
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5255
ROBERT KATZ MD
Pediatrics
410 LAKEVILLE RD, SUITE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377
RAMONA SEETA RAMDEO NP
Nurse Practitioner
410 LAKEVILLE RD, SUITE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
DR. LIBORIO CARMINE MUSACCHIA DO
Anesthesiology (Pediatric Anesthesiology)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (631) 988-6733
HOPE HEMATOLOGY AND ONCOLOGY PLLC
Specialist
410 LAKEVILLE RD, 100
NEW HYDE PARK, NY 11042
Nassau County (516) 352-1540
RACHEL LOWY
Physician Assistant
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 352-1540
SHOABA JAIKISSOON FNP
Nurse Practitioner (Family)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377

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 Pravin Singhal's NPI number?

The NPI number for Pravin Singhal is 1821167107. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Pravin Singhal located?

Pravin Singhal practices at 410 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 465-5260.

What is Pravin Singhal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pravin Singhal enrolled in Medicare?

Yes. Pravin Singhal 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.

Is Pravin Singhal affiliated with any hospitals?

According to CMS data, Pravin Singhal is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Pravin Singhal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.