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DR. PRATHAP R NAINI MD
NPI 1972898625
Obstetrics & Gynecology in Takoma Park, MD

Active since June 10, 2011PECOS Enrolled
7620 CARROLL AVE STE 201, TAKOMA PARK, MD 20912(301) 891-6647(301) 891-6654 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2022, Sep 12, 2018 (2 updates tracked since 2018).

About Dr. Prathap R Naini Md NPPES

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

DR. PRATHAP R NAINI MD (NPI 1972898625) is an individual obstetrics & gynecology provider in Takoma Park, Maryland, licensed in Maryland (D0079635) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972898625
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. PRATHAP R NAINICredential: MD
Location Address7620 CARROLL AVE STE 201Takoma Park, MD 20912-6388
Mailing Address26005 Ridge Rd Ste 200Damascus, MD 20872-1899 · (301) 414-2300 · Fax (301) 414-0476
Phone(301) 891-6647
Fax(301) 891-6654
Sole ProprietorNo
Enumeration DateJune 10, 2011
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1972898625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MD · D0079635✔ Licensed in DC · MD043099
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT 199329 (PA)
7620 CARROLL AVE STE 201, Takoma Park, MD 20912
Open in Google Maps ↗

Secondary Practice Locations 2

Location 126005 Ridge Rd Ste 200Damascus, MD 20872-1899 · Phone (301) 414-2300 · Fax (301) 414-0476
Location 23912 Georgia Ave NWWashington, DC 20011-5861 · Phone (202) 545-2089

Other Identifiers 1

Medicaid101828100MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prathap R Naini 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Prathap Naini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
4.7 mi
Physical Therapy
10410 NORTH KENSINGTON PARKWAY
Kensington, MD 20895
NPI 1376601872 (301) 897-2330
Simmonds, Martin & Helmbrecht, LLC
23 mi
Obstetrics & Gynecology
26005 RIDGE RD, SUITE 200
Damascus, MD 20872
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 60 clinicians in this Medicare group
NPI 1558411934 (301) 414-2300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20912 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Prathap Naini's NPI number?

The NPI number for Prathap Naini is 1972898625. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Prathap Naini located?

Prathap Naini practices at 7620 Carroll Ave Ste 201, Takoma Park, MD 20912. The listed phone number is (301) 891-6647.

What is Prathap Naini's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Prathap Naini enrolled in Medicare?

Yes. Prathap Naini is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prathap Naini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathap Naini reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, MD) and Simmonds, Martin & Helmbrecht, LLC (Damascus, MD). Each 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 Prathap Naini'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 Prathap Naini was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.