DR. PRAGNA DHIMANT SHETH (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1205835279
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
318 PATHOLOGY in VA
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Provider Addresses for DR. PRAGNA DHIMANT SHETH (MD)
PO BOX 21569
ROANOKE, VA 240180568
Phone:
Type: Mailing
1906, Belleview Avenue Southeast, Bellview Terrace, Roanoke, Roanoke (city), Virginia, 24014, United States
ROANOKE, VA 240141838
Phone: (540) 981-7273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2005-03-03
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 |
|---|---|---|---|---|
| I20050303000587 | I | Pathology | VA | 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 |
|---|---|---|---|---|
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,277 | 309 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 880 | 525 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 477 | 369 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 349 | 305 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 200 | 112 | $0 |
Insurance plans in this area (ZIP 24018)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | VA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 45 | 40 |
| PATHOLOGY | VA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 125 | 51 |
| PATHOLOGY | VA | 88342 | Tissue or cell analysis by immunologic technique | 69 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | VA | |
| Pathology, Dermatology | VA | |
| Pathology, Diagnostic Radiology | GA | |
| - | VA | |
| P A T H O L O G Y | WI | |
| P A T H O L O G Y | NC | |
| P A T H O L O G Y | SC | |
| P A T H O L O G Y | VA |
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