Pragya Dhaubhadel, MD
NPI 1639442528 · Infectious Disease Physician · Scranton, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pragya Dhaubhadel, MD is a Infectious Disease Physician provider in Scranton, PA (NPI 1639442528).
Provider details
- NPI number
- 1639442528
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD456394 (PA)
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
594 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 190 | $163 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 190 | $75 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 113 | $110 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 33 | $92 |
| 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 | 20 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Vancomycin Hcl | 33 |
| Doxycycline Hyclate | 25 |
| Darunavir | 18 |
| Cefazolin Sodium | 15 |
| Cefadroxil | 12 |
| Ritonavir | 12 |
| Fluconazole | 11 |
| Abacavir/Dolutegravir/Lamivudibrand: Triumeq | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-23
- Last updated
- 2020-08-31
- Certified
- 2020-08-31
Frequently asked questions
- What is Pragya Dhaubhadel's NPI number?
- Pragya Dhaubhadel's National Provider Identifier (NPI) is 1639442528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pragya Dhaubhadel's specialty?
- Pragya Dhaubhadel is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pragya Dhaubhadel located?
- Pragya Dhaubhadel's practice location on file with NPPES is 1800 Mulberry Street, Scranton, PA 18510-6800.
- What is Pragya Dhaubhadel's phone number?
- The practice phone number listed in the NPPES registry for Pragya Dhaubhadel is (570) 703-7351.
- Does Pragya Dhaubhadel accept Medicare?
- Pragya Dhaubhadel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pragya Dhaubhadel's NPI active?
- Yes — Pragya Dhaubhadel's NPI (1639442528) is active in the NPPES registry as of the last update on 2020-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.