PRERNA AGRAWAL MD
NPI 1972205128
Pediatrics in Stockton, CA

Q: What is Prerna Agrawal's NPI number?

The NPI number for Prerna Agrawal is 1972205128. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Prerna Agrawal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Prerna Agrawal was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 21, 2023PECOS Enrolled

2349 N CALIFORNIA ST, STOCKTON, CA 95204(209) 469-2229 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Prerna Agrawal Md NPPES

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

PRERNA AGRAWAL MD (NPI 1972205128) is an individual pediatrics provider in Stockton, California, licensed in New York (326217) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972205128

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NamePRERNA AGRAWALCredential: MD

Location Address2349 N CALIFORNIA STStockton, CA 95204-5505

Mailing Address2349 N California StStockton, CA 95204-5505 · (209) 469-2229

Phone(209) 469-2229

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1972205128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 326217

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2349 N CALIFORNIA ST, Stockton, CA 95204

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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 (PECOS)

Prerna Agrawal 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Other Providers at the Same Location NPPES 10

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

MISS PINKI L GOSWAMI PNP

Nurse Practitioner