NPPES file of Aug 9, 2026

Pragnesh H. Gadhvi, M.D.

Specialist · Union City, NJ

Pragnesh H. Gadhvi, M.D. is a specialist with a practice address in Union City, New Jersey, and NPI 1306865571, issued on Jul 19, 2006. Check the license (New Jersey 25MA08262000, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306865571
Name
Pragnesh H. Gadhvi
Credential
M.D.
Primary taxonomy
Specialist 174400000X
License numbers
25MA08262000 NJ
233104-1 NY
Self-reported in NPPES; status is on the state search
Practice location
Pragnesh Gadhvi Barnabas Health Medical Group, Union City, NJ 07087
Phone
(201) 792-1600
Enumerated
Jul 19, 2006
Record last updated
Apr 18, 2024
Fax
(201) 499-7651
Medicaid ID
2738705 NY
Medicare enrollment
Enrolled (PECOS I20070806000282); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Pragnesh H. Gadhvi in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
    Search for license 25MA08262000
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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81% more Medicare Part D claims than the average specialist in 2024

2,492 Medicare Part D claims for 404 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.

  1. Pragnesh Gadhvi2,492
  2. Specialty average1,380

Most prescribed

  1. Atorvastatin Calcium228 claims
  2. Amlodipine Besylate207 claims
  3. Losartan Potassium207 claims
  4. Metoprolol Succinate190 claims
  5. Rosuvastatin Calcium156 claims
  6. Carvedilol151 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.7 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score77.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,140.72

51 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Pragnesh Gadhvi$1,140.72
  2. Specialty average$4,760.79

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Barnabas Health Medical Group PCJersey City, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Pragnesh H. Gadhvi among 1,636 specialist records in New Jersey

Pragnesh H. Gadhvi, M.D. is one of 1,636 specialist records with a practice address in New Jersey. 38% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.

  • NPI issued2006 · 10% of these records are older, 48% newer
  • In a Medicare fileYes · 38% of these records are
  • In the CMS Doctors and Clinicians fileYes · 29% of these records are
  • Graduated1997 · median 1989 among the 474 with a school on file
  • Record last updated2024 · 83% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

6 specialist records list a practice address in Union City

They are 6 of the 429 NPPES records with a practice address in Union City, and 1,636 specialist records in New Jersey.

The 8 specialist records with the nearest ZIP codes

  1. Rosa Guzman, N.D.Union City, NJ 070871487055596
  2. Manuel Hugo, M.D.Union City, NJ 070871760568836
  3. Theresa Martinez, MS EDUnion City, NJ 070871053673848
  4. Luis NavasUnion City, NJ 070871104263904
  5. Hector Rubinstein, M.D.Union City, NJ 070871992723878
  6. Arielle Baker, LSWWeehawken, NJ 070861194173245
  7. Walter Chavez, OTR/LWestfield, NJ 070901104135458
  8. Julia Diddell, LPO, BOCO, BOCPWestfield, NJ 070901962747501

Common questions

What is Pragnesh H. Gadhvi, M.D.'s NPI number?

Pragnesh H. Gadhvi, M.D.'s National Provider Identifier (NPI) is 1306865571, issued on Jul 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Pragnesh H. Gadhvi, M.D. located?

The NPPES record lists a practice address at Pragnesh Gadhvi Barnabas Health Medical Group, Union City, NJ, 07087. Phone: (201) 792-1600. Providers update this record themselves, so call before visiting.

How can I verify Pragnesh H. Gadhvi, M.D.'s license?

NPPES lists New Jersey license number 25MA08262000, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.

How much does Pragnesh H. Gadhvi, M.D. prescribe under Medicare Part D?

In 2024, Pragnesh H. Gadhvi, M.D. had 2,492 Medicare Part D claims for 404 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.

What is Pragnesh H. Gadhvi, M.D.'s MIPS final score?

The 2023 MIPS final score is 93.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.