Prachi Sanjeev Nene, M.D.
NPI 1124481619ActiveIndividual· Internal Medicine, Gastroenterology· Burlingame, CA
Internal Medicine, Gastroenterology (M.D.) with Sutter Bay Medical Foundation, practicing in Burlingame, California. In 2024 Medicare paid $74,698 for 247 patients, and Part D covered 409 of their prescriptions, 72% of them generic. Abbvie Inc. was the largest of 4 companies reporting payments in 2025, $358.38 in all, mostly food and beverage. Lists California Pacific Medical Center- Van Ness Campus and 1 other hospital as hospital affiliations.
Overview
| NPI | 1124481619 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 1, 2016 |
| Last updated in NPPES | Jul 15, 2022 |
| Certified by provider | Jul 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | A154558 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 596 across 32 procedure codes |
| Paid by Medicare | $74,698 |
Part D prescriptions in 2024
| Prescriptions (claims) | 409 · 644 30-day fills |
|---|---|
| Patients | 211 |
| Total drug cost | $40,751 |
| Generic share | 72% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliations
- California Pacific Medical Center- Van Ness CampusSan Francisco, CA
- Peninsula Medical CenterBurlingame, CA
Industry payments (Open Payments)
- 2025$358.38 · 17 payments from 4 companies
- 2024$428.63 · 19 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $231.14 | 13 |
| Aimmune Therapeutics, Inc. | $74.94 | 2 |
| Phathom Pharmaceuticals, Inc. | $27.91 | 1 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $24.39 | 1 |
What the 2025 payments were for
- Food and Beverage$358.38 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 gastroenterologists in Burlingame · All gastroenterologists in California