PRAJEENA MAINALI (D.O.) – Family Medicine Physician, NPI 1053705160
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,722 INTERNAL MEDICINE in MA
Provider Addresses for PRAJEENA MAINALI (D.O.)
9 TURNER CT
REHOBOTH, MA 027692128
Phone: (703) 795-6334
Type: Mailing
203 PLYMOUTH AVE STE 701
FALL RIVER, MA 027214300
Phone: (502) 235-5445
Fax: (508) 235-5594
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $907.
Total Amount is formed as General ($907) + Research ($0) + Ownership ($0) = $907.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($318).
Total Amount
$907
General + Research + Ownership
Payments
40
Total payment records
General Amount
$907
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $318 |
| Novo Nordisk Inc | $140 |
| Abbott Laboratories | $105 |
| Tolmar, Inc. | $65 |
| Exact Sciences Corporation | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181116001021 | I | Internal Medicine | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 103 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 192 | 92 | $0 |
| 83036 | Hemoglobin a1c level | 106 | 83 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 103 | 74 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 100 | 77 | $0 |
Insurance plans in this area (ZIP 02769)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hematology/Oncology, Hospitalist, Hospitalist | VT | |
| Internal Medicine | MA | |
| Infectious Disease, Internal Medicine | MA | |
| Internal Medicine | MA | |
| Diagnostic Radiology, Internal Medicine | RI | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| Physician Assistant | MA | |
| - | MA | |
| Internal Medicine | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.