Pragneshkumar N. Radadiya, MD
NPI 1548421985ActiveIndividual· Family Medicine· Indianapolis, IN
Family Medicine (MD) with Community Physicians of Indiana Inc and 5 other groups, practicing in Indianapolis, Indiana. Their prescriptions cost Medicare Part D more than their services did: $7,214,060 for 90,897 claims, against $336,586 paid for services in 2024. Lilly USA, LLC was the largest of 5 companies reporting payments in 2025, $3,289 in all, mostly consulting fees. Lists Community Hospital South, Inc. and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1548421985 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 18, 2008 |
| Last updated in NPPES | May 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 01069393A | IN |
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 - Family Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,487 |
|---|---|
| Services billed | 4,239 across 24 procedure codes |
| Paid by Medicare | $336,586 |
Part D prescriptions in 2024
| Prescriptions (claims) | 90,897 · 91,552 30-day fills |
|---|---|
| Patients | 2,015 |
| Total drug cost | $7,214,060 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Hospitalist |
Medical groups
- Community Physicians of Indiana IncIndianapolis, IN · 1,565 clinicians
- Novenza Practice Group IIGreenwood, IN · 18 clinicians
- Informe Healthcare in LLCSouth Bend, IN · 14 clinicians
- Informe Hc Specialists LLCMishawaka, IN · 8 clinicians
- Post Acute Care Specialists LLCGreenwood, IN · 4 clinicians
- Indiana Group LLCGreenwood, IN · 2 clinicians
Hospital affiliations
- Community Hospital South, Inc.Indianapolis, IN
- Franciscan Health Rensselaer, IncRensselaer, IN
- Indiana University HealthIndianapolis, IN
- Reid HealthRichmond, IN
- St Elizabeth EdgewoodEdgewood, KY
Other facilities
- Majestic Home Health LLCHome health agency · Westfield, IN
- Aaron-Ruben-Nelson HospiceHospice · Indianapolis, IN
- Brighton Hospice Indiana LLCHospice · Indianapolis, IN
- Compassus-Indianapolis MetroHospice · Indianapolis, IN
- Our Hospice of South Central Indiana IncHospice · Columbus, IN
- Forest Park Health CampusNursing home · Richmond, IN
- Rensselaer Care CenterNursing home · Rensselaer, IN
- Ridgewood Health CampusNursing home · Lawrenceburg, IN
- Shady Nook Care CenterNursing home · Lawrenceburg, IN
- Springs of Richmond, theNursing home · Richmond, IN
Industry payments (Open Payments)
- 2025$3,289 · 7 payments from 5 companies
- 2024$75.82 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $3,150 | 3 |
| Sun Pharmaceutical Industries Inc. | $50.41 | 1 |
| Scpharmaceuticals Inc. | $47.62 | 1 |
| Merck Sharp & Dohme LLC | $27.09 | 1 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $13.81 | 1 |
What the 2025 payments were for
- Consulting Fee$3,150 · 3 payments
- Food and Beverage$138.93 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 724 family medicine physicians in Indianapolis · All family medicine physicians in Indiana