Active NPI 1255489993 Individual Practitioner Male Practitioner

Dr. Prashant Jani , MD

Internal Medicine • Sanford, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Jani, MD is a certified Internal Medicine practicing in Sanford, FL. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Jani delivers high-quality medical care to the local community at 1403 MEDICAL PLAZA DR STE 106.

Dr. Jani maintains professional affiliations with Hospital Medicine Services Of Fl, Llc, Inpatient Consultants Of Florida, Inc, Ability Health Services And Rehabilitation Lp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1403 Medical Plaza Dr Ste 106

Sanford, FL 327711085

Telephone 2192302091

Associated Practice Facility / Clinic

🏢 P & T Family Care Llc Facility NPI 1710417662

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sanford, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +3.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Sanford, FL (10650 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jani (28 Years) 28 Yrs

Sanford Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	75	$255.00	$124.37
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	289	73	$33.00	$16.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	27	$572.00	$116.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$257.00	$125.20
36415 Insertion of needle into vein for collection of blood sample	25	19	$14.80	$8.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$398.00	$77.06
99497 Advance care planning, first 30 minutes	19	17	$166.00	$79.81
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$180.00	$88.12
99238 Hospital discharge day management, 30 minutes or less	11	11	$406.00	$78.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	75	$255.11	$125.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	16	$398.00	$78.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$257.36	$125.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	14	$103.00	$50.61
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	14	14	$383.00	$188.29
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$180.17	$88.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	98	$160.54	$125.54
99213 Established patient office or other outpatient visit, typically 15 minutes	102	55	$135.92	$89.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	76	44	$484.32	$101.88
36415 Insertion of needle into vein for collection of blood sample	75	44	$19.81	$2.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$250.46	$128.72
G0444 Annual depression screening, 5 to 15 minutes	47	47	$39.94	$17.87
99497 Advance care planning, first 30 minutes	40	39	$122.55	$84.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	16	$357.12	$71.00
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$45.00	$14.22
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	17	15	$30.00	$26.38
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	13	13	$40.00	$26.21
99239 Hospital discharge day management, more than 30 minutes	12	12	$478.00	$103.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	106	$154.00	$129.60
99213 Established patient office or other outpatient visit, typically 15 minutes	141	75	$135.00	$91.32
36415 Insertion of needle into vein for collection of blood sample	114	57	$20.00	$3.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	29	$484.49	$103.66
99497 Advance care planning, first 30 minutes	45	45	$120.00	$85.52
G0444 Annual depression screening, 5 to 15 minutes	45	45	$40.00	$18.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$250.00	$131.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	15	$358.96	$72.18
99238 Hospital discharge day management, 30 minutes or less	15	15	$384.67	$72.10
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$45.00	$14.80
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	13	13	$400.00	$177.26
93880 Ultrasound of both sides of head and neck blood flow	11	11	$400.00	$194.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$257.00	$169.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	403	175	$195.01	$97.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	114	$153.92	$108.71
99213 Established patient office or other outpatient visit, typically 15 minutes	96	66	$133.85	$73.04
36415 Insertion of needle into vein for collection of blood sample	69	48	$19.86	$3.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	48	$125.13	$41.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$228.63	$115.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	43	21	$124.00	$69.50
G0444 Annual depression screening, 5 to 15 minutes	40	40	$40.00	$17.89
99497 Advance care planning, first 30 minutes	40	40	$120.00	$86.42
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	36	34	$130.56	$41.33
G0008 Administration of influenza virus vaccine	36	35	$50.00	$16.56
90662 Influenza vaccine split virus, preservative free	35	34	$68.00	$60.81
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$45.00	$17.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	20	20	$100.00	$51.31
99495 Transitional care management services for problem of at least moderate complexity	20	19	$261.00	$181.70
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	14	14	$164.29	$89.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	140	$154.00	$108.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	107	22	$114.00	$69.28
99213 Established patient office or other outpatient visit, typically 15 minutes	103	67	$135.00	$73.95
G0008 Administration of influenza virus vaccine	49	49	$50.00	$16.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$140.00	$113.00
G0444 Annual depression screening, 5 to 15 minutes	38	38	$40.00	$17.81
90662 Influenza vaccine split virus, preservative free	37	37	$68.00	$54.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	29	$100.00	$52.98
99497 Advance care planning, first 30 minutes	31	31	$113.23	$82.26
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$45.00	$16.95
99306 Initial nursing facility visit, typically 45 minutes per day	15	13	$210.00	$168.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$180.00	$171.09
99496 Transitional care management services for problem of high complexity	13	11	$240.00	$230.28
90756 Vaccine for influenza for injection into muscle	13	13	$60.00	$26.13
G0009 Administration of pneumococcal vaccine	12	12	$50.00	$16.24
90670 Pneumococcal vaccine for injection into muscle	12	12	$320.83	$211.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	92	$154.00	$106.56
G0008 Administration of influenza virus vaccine	40	40	$50.00	$19.91
90662 Influenza vaccine split virus, preservative free	38	38	$68.00	$52.30
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$135.00	$72.13
G0009 Administration of pneumococcal vaccine	13	13	$50.00	$19.91
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$45.00	$16.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$449.00	$102.43

Medical Specialties & State Licenses

CMS Verified: 2022-09-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL FLME114445

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Hf

PV664 (FL)

Hospital & Practice Group Affiliations

Inpatient Consultants Of Florida, Inc

3030 W Bearss Ave, Tampa, FL 336181811

Phone: 8139688777

Hospital Medicine Services Of Fl, Llc

325 Cypress Pkwy, Kissimmee, FL 347593326

Phone: 4075302000

Ability Health Services, Inc

1200 Lexington Green Ln, Sanford, FL 327711013

Ability Health Services And Rehabilitation Lp

1200 Lexington Green Ln, Sanford, FL 327711013

Hospital Medicine Services Of Fl, Llc

8300 Red Bug Lake Rd, Oviedo, FL 327656801

Phone: 4073596010

Inpatient Consultants Of Florida, Inc

1401 S Seminole Blvd, Sanford, FL 327716743

Phone: 4073214500

Health First Privia Medical Group

1403 Medical Plaza Dr, Sanford, FL 327711085

Phone: 7703125226

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Tejas Patel , MD

Internal Medicine

NPI 1083861017

Doctor of Medicine (M.D.)

Andrew Ogara , ARNP

Nurse Practitioner

NPI 1861474496

Advanced Registered Nurse Practitioner

Dr. Gaurav Purani , MD

Internal Medicine

NPI 1932530953

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address September 27, 2022

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 4073281575)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2022

Internal Medicine (License #FLME114445 in FL)

📍

Updated Practice Location June 14, 2019

Registered at 1403 MEDICAL PLAZA DR STE 106, SANFORD, FL 327711085 (Tel: 2192302091)

📍

Updated Business Mailing Address June 14, 2019

Registered at 1403 MEDICAL PLAZA DR STE 106, SANFORD, FL 327711085 (Tel: 2192302091)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1000 LOCUST ST, MS 018, RENO, NV 895022597 (Tel: 7753270494)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6200 MEADOWOOD MALL CIR, APT#435, RENO, NV 895026634 (Tel: 7327577289)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PRASHANT JANI, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #LL1726 in NV)

🟢

Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255489993

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 08, 2007

Last Update: September 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 4073281575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.