Prajesh Gongal, M.D.
NPI 1609453406 · Internal Medicine Physician · Lebanon, NH
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prajesh Gongal, M.D. is a Internal Medicine Physician provider in Lebanon, NH (NPI 1609453406).
Provider details
- NPI number
- 1609453406
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
105 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $95 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 30 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $65 |
Typical Medicare-allowed amounts for these services range $16–$95 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 53 | 20 |
| Metoprolol Succinate | 48 | 16 |
| Amlodipine Besylate | 38 | 15 |
| Apixabanbrand: Eliquis | 35 | — |
| Losartan Potassium | 23 | — |
| Clopidogrel Bisulfatebrand: Clopidogrel | 21 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2025-08-07
- Certified
- 2024-06-11
Frequently asked questions
- What is Prajesh Gongal's NPI number?
- Prajesh Gongal's National Provider Identifier (NPI) is 1609453406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prajesh Gongal's specialty?
- Prajesh Gongal is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prajesh Gongal located?
- Prajesh Gongal's practice location on file with NPPES is 1 Medical Center Dr, Lebanon, NH 03756-1000.
- What is Prajesh Gongal's phone number?
- The practice phone number listed in the NPPES registry for Prajesh Gongal is (603) 650-7515.
- Does Prajesh Gongal accept Medicare?
- Prajesh Gongal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prajesh Gongal's NPI active?
- Yes — Prajesh Gongal's NPI (1609453406) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.