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PRADEEP PRASAD DHITAL MD
NPI 1861431777
Pathology - Clinical Pathology/Laboratory Medicine in Valley Stream, NY

Active since June 06, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
900 FRANKLIN AVENUE, VALLEY STREAM, NY 11580(516) 256-6164 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pradeep Prasad Dhital Md NPPES

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

PRADEEP PRASAD DHITAL MD (NPI 1861431777) is an individual clinical pathology/laboratory medicine provider in Valley Stream, New York, licensed in Michigan (4301046537) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861431777
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NamePRADEEP PRASAD DHITALCredential: MD
Location Address900 FRANKLIN AVENUEValley Stream, NY 11580-4164
Mailing Address900 Franklin AveValley Stream, NY 11580-2145 · (516) 256-6164
Phone(516) 256-6164
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1861431777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License✔ Licensed in MI · 4301046537
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
900 FRANKLIN AVENUE, Valley Stream, NY 11580
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Other Identifiers 3

Medicaid4586833MI
Medicare UPINB48907
Medicare ID-Type Unspecified0C76010011MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pradeep Prasad Dhital Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
199 services126 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
83 services81 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
82 services70 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
55 services29 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
23 services22 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11580 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

Other Providers at the Same Location NPPES

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

WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE
Clinic/Center
900 FRANKLIN AVENUE, WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6576

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 Pradeep Dhital's NPI number?

The NPI number for Pradeep Dhital is 1861431777. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Pradeep Dhital located?

Pradeep Dhital practices at 900 Franklin Avenue, Valley Stream, NY 11580. The listed phone number is (516) 256-6164.

What is Pradeep Dhital's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Pradeep Dhital enrolled in Medicare?

Yes. Pradeep Dhital is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pradeep Dhital was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.