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PRACHETA DILIP BAGALE M.D.
NPI 1891646766
Student in an Organized Health Care Education/Training Program in Marysville, WA

Active since February 06, 2026PECOS Enrolled
9710 STATE AVE SEA MAR MARYSVILLE MEDICAL CLINIC,, MARYSVILLE, WA 98270(360) 653-1742 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Feb 6, 2026 (2 updates tracked since 2026).

About Pracheta Dilip Bagale M.d. NPPES

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

PRACHETA DILIP BAGALE M.D. (NPI 1891646766) is an individual student in an organized health care education/training program in Marysville, Washington and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891646766
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRACHETA DILIP BAGALECredential: M.D.
Location Address9710 STATE AVE SEA MAR MARYSVILLE MEDICAL CLINIC,Marysville, WA 98270
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(360) 653-1742
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 6, 2026
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1891646766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9710 STATE AVE SEA MAR MARYSVILLE MEDICAL CLINIC,, Marysville, WA 98270
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pracheta Dilip Bagale M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254800386
PECOS Enrollment IDI20260518002342
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.

Medicare Billing Reassignment

Medicare enrollment records show Pracheta Dilip Bagale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sea Mar Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
9710 STATE AVE
Marysville, WA 98270
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
NPI 1578610911 (360) 653-1742

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pracheta Dilip Bagale's NPI number?

The NPI number for Pracheta Dilip Bagale is 1891646766. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Pracheta Dilip Bagale located?

Pracheta Dilip Bagale practices at 9710 State Ave Sea Mar Marysville Medical Clinic,, Marysville, WA 98270. The listed phone number is (360) 653-1742.

What is Pracheta Dilip Bagale's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pracheta Dilip Bagale enrolled in Medicare?

Yes. Pracheta Dilip Bagale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pracheta Dilip Bagale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pracheta Dilip Bagale reassigns Medicare benefits to Sea Mar Community Health Centers (Marysville, WA). The 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 Pracheta Dilip Bagale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pracheta Dilip Bagale was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.