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DR. PRAGNESH A. DESAI D.O.
NPI 1952393217
Urology in Allentown, PA

Active since August 22, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 39D0876693 · Waiver
75/100
CMS Quality Rating
6081 HAMILTON BLVD., SUITE 101, ALLENTOWN, PA 18106(610) 366-2112(610) 366-2114 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Pragnesh A. Desai D.o. NPPES

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

DR. PRAGNESH A. DESAI D.O. (NPI 1952393217) is an individual urology provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS-005929-L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 25, 2027, and is affiliated with St Luke's Warren Hospital.

NPPES Registry Identity

NPI1952393217
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PRAGNESH A. DESAICredential: D.O.
Location Address6081 HAMILTON BLVD., SUITE 101Allentown, PA 18106-9801
Mailing Address6081 Hamilton Blvd., Suite 101Allentown, PA 18106-9801 · (610) 366-2112 · Fax (610) 366-2114
Phone(610) 366-2112
Fax(610) 366-2114
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1991
Enumeration DateAugust 22, 2005
Last NPPES UpdateApril 16, 2019
✔ NPI 1952393217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in PA · OS-005929-L✔ Licensed in PA · 05-005929-L
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6081 HAMILTON BLVD., Allentown, PA 18106
Open in Google Maps ↗

Other Identifiers 3

Medicaid0012376230002PA
Other01188701PA · Capital Blue Cross
Other990219PA · Khp Central & Senior Blue

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

Dr. Pragnesh A. Desai D.o. 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 ID6709902877
PECOS Enrollment IDI20100927000121
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0876693

Pragnesh A Desai Do Laboratory · Allentown, PA
Active · expires Jan 25, 2027
CLIA Number39D0876693
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorPragnesh A. Desai Do
Laboratory Phone(610) 366-2112
Laboratory LocationPragnesh A Desai Do Laboratory6081 Hamilton Boulevard Suite 101, Allentown, PA 18106
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
648 services256 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
527 services217 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.
449 services189 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
413 services203 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.
204 services135 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18106 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Pragnesh Desai's NPI number?

The NPI number for Pragnesh Desai is 1952393217. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Pragnesh Desai located?

Pragnesh Desai practices at 6081 Hamilton Blvd. Suite 101, Allentown, PA 18106. The listed phone number is (610) 366-2112.

What is Pragnesh Desai's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Pragnesh Desai enrolled in Medicare?

Yes. Pragnesh Desai 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.

Does Pragnesh Desai hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0876693) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pragnesh Desai affiliated with any hospitals?

According to CMS data, Pragnesh Desai is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Lehigh Valley Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Pragnesh Desai was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.