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PROMOD K DUGGAL M.D.
NPI 1992708044
Internal Medicine - Nephrology in Greenbelt, MD

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
7500 GREENWAY CENTER DR, SUITE 930, GREENBELT, MD 20770(301) 345-2412(301) 345-3978 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Promod K Duggal M.d. NPPES

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

PROMOD K DUGGAL M.D. (NPI 1992708044) is an individual nephrology provider in Greenbelt, Maryland, licensed in Maryland (D33942) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1989).

NPPES Registry Identity

NPI1992708044
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePROMOD K DUGGALCredential: M.D.
Location Address7500 GREENWAY CENTER DR, SUITE 930Greenbelt, MD 20770-3502
Mailing Address7500 Greenway Center Dr, Suite 930Greenbelt, MD 20770-3502 · (301) 345-2412 · Fax (301) 345-3978
Phone(301) 345-2412
Fax(301) 345-3978
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1989
Enumeration DateMay 23, 2005
Last NPPES UpdateJuly 22, 2010
✔ NPI 1992708044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MD · D33942
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
7500 GREENWAY CENTER DR, Greenbelt, MD 20770
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Other Identifiers 5

Medicaid409745900MD
Medicare UPINB69352MD
Medicare ID-Type UnspecifiedG02110P01MD · Rendering Provider Number
Medicaid475321600MD
Medicare ID-Type UnspecifiedG02110MD · Medicare Group Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Promod K Duggal M.d. 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 ID1557358108
PECOS Enrollment IDI20051013000290
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 Promod Duggal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Nephrology, PC
0.1 mi
Nephrology
7500 GREENWAY CENTER DR, SUITE 930
Greenbelt, MD 20770
  • Reassigned Medicare billing, District of Columbia enrollment
  • 10 clinicians in this Medicare group
NPI 1780769984 (301) 345-2412
Governor Juan F. Luis Hospital & Medical Center
General Acute Care Hospital
#4007 ESTATE DIAMOND RUBY
Christiansted, St. Croix, VI 00821
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 331 clinicians in this Medicare group
NPI 1972503647 (340) 778-6311

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

Areas of Expertise CMS Part B claims 4

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
172 services21 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.
61 services39 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
55 services20 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20770 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
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%240 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%726 patients5/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
94%146 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%313 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
37%2,295 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%471 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%284 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%471 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%471 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier48 claims1,491 services$10.95 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier48 claims289 services$279.95 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier48 claims289 services$8.02 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier48 claims289 services$25.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. QUAN WANG M.D.
Specialist
7500 GREENWAY CENTER DR, SUITE #930
GREENBELT, MD 20770
Prince George's County (301) 345-2412
MRS. LUCIA M MOUTOUX CRNP
Nurse Practitioner (Family)
7500 GREENWAY CENTER DR
GREENBELT, MD 20770
Prince George's County (301) 220-2333
DR. AKINTUNDE KAI KOSO-THOMAS M.D
Pathology (Anatomic Pathology & Clinical Pathology)
7500 GREENWAY CENTER DR, 8TH FLOOR
GREENBELT, MD 20770
Prince George's County (301) 477-2000
JACK DAVID FRANCIS M.D.
Urology
7500 GREENWAY CENTER DR, 8TH FLOOR
GREENBELT, MD 20770
Prince George's County (301) 477-2000
HARBHAJAN S. AJRAWAT MD
Urology
7500 GREENWAY CENTER DR, 8TH FLOOR
GREENBELT, MD 20770
Prince George's County (301) 477-2000
MR. VISHWAM RAJENDRAKUMAR PANDYA MD
Internal Medicine (Nephrology)
7500 GREENWAY CENTER DR, STE. 930
GREENBELT, MD 20770
Prince George's County (301) 345-2412
WALID AFIF MUFARRIJ MD
Urology
7500 GREENWAY CENTER DR, 8TH FLOOR
GREENBELT, MD 20770
Prince George's County (301) 477-2000
MIDATLANTIC UROLOGY ASSOCIATES LLC
Urology
7500 GREENWAY CENTER DR, 8TH FLOOR
GREENBELT, MD 20770
Prince George's County (301) 477-2000

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 Promod Duggal's NPI number?

The NPI number for Promod Duggal is 1992708044. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Promod Duggal located?

Promod Duggal practices at 7500 Greenway Center Dr Suite 930, Greenbelt, MD 20770. The listed phone number is (301) 345-2412.

What is Promod Duggal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Promod Duggal enrolled in Medicare?

Yes. Promod Duggal 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.

Which organizations bill Medicare for Promod Duggal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Promod Duggal reassigns Medicare benefits to 2 organizations: Capital Nephrology, PC (Greenbelt, MD) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). 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 Promod Duggal'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 Promod Duggal was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.