Prerna Ladha, M.D.
NPI 1205196250 · Surgery Physician · Providence, RI
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prerna Ladha, M.D. is a Surgery Physician provider in Providence, RI (NPI 1205196250).
Provider details
- NPI number
- 1205196250
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP02456 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
90 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 49 | $75 |
| Critical Care, First 30-74 Minutes99291 | 41 | $203 |
Typical Medicare-allowed amounts for these services range $75–$203 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2012-05-24
Frequently asked questions
- What is Prerna Ladha's NPI number?
- Prerna Ladha's National Provider Identifier (NPI) is 1205196250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prerna Ladha's specialty?
- Prerna Ladha is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Prerna Ladha located?
- Prerna Ladha's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Prerna Ladha's phone number?
- The practice phone number listed in the NPPES registry for Prerna Ladha is (401) 444-5180.
- Does Prerna Ladha accept Medicare?
- Prerna Ladha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prerna Ladha's NPI active?
- Yes — Prerna Ladha's NPI (1205196250) is active in the NPPES registry as of the last update on 2012-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.