Active NPI 1205196250 Individual Practitioner Female Practitioner

Dr. Prerna Ladha , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prerna Ladha, MD is a certified Surgery practicing in Providence, RI. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Ladha delivers high-quality medical care to the local community at 593 EDDY ST.

Dr. Ladha is affiliated with The Metrohealth System and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, initial hospital care with straightforward or low-level 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

593 Eddy St

Providence, RI 029034923

Telephone 4014445180

Fax 4014446681

Associated Practice Facility / Clinic

🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -9.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

95 Specialists

Practicing in Providence, RI (160 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ladha (15 Years) 15 Yrs

Providence Specialty Average (24.5 Years) 24.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	30	$184.00	$74.61
99291 Critical care, first 30-74 minutes	41	12	$802.00	$202.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	28	$184.00	$76.43
99291 Critical care, first 30-74 minutes	24	12	$802.00	$207.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$389.00	$125.81
99284 Emergency department visit with moderate level of medical decision making	14	14	$306.00	$118.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$490.00	$167.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	33	$182.75	$69.22
99291 Critical care, first 30-74 minutes	27	13	$802.00	$213.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$373.00	$131.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	34	$163.09	$69.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$306.67	$131.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$292.00	$102.44
99291 Critical care, first 30-74 minutes	18	12	$802.00	$220.47
99283 Emergency department visit with low level of medical decision making	13	13	$146.62	$73.32
99284 Emergency department visit with moderate level of medical decision making	13	13	$300.62	$124.57
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$247.00	$95.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	33	$177.57	$71.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	26	$287.00	$103.41
99291 Critical care, first 30-74 minutes	28	12	$802.00	$222.23
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$236.11	$101.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$479.65	$200.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$338.86	$137.37
99284 Emergency department visit with moderate level of medical decision making	13	13	$306.00	$120.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$168.62	$71.06

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI LP02456

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

The Metrohealth System

2500 Metrohealth Dr, Cleveland, OH 441091900

Phone: 2167787800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Nicole Breting , APRN

Nurse Practitioner

NPI 1023488145

Advanced Practice Registered Nurse

Dr. William Law , MD

Student in an Organized Health Care Education/Training Program

NPI 1023687274

Doctor of Medicine (M.D.)

Dr. Robert Wolf , MD

Surgery

NPI 1023701133

Doctor of Medicine (M.D.)

Dr. Abigail Case , MD

Surgery

NPI 1043901747

Doctor of Medicine (M.D.)

Kenneth Lynch , RNP

Nurse Practitioner

NPI 1063541233

Michael Cremins , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1083611073

PHYSICIANASSISTANT

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2012

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445180)

📍

Updated Business Mailing Address May 24, 2012

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445180)

👤

Provider Name / Credentials Updated May 24, 2012

Recorded as PRERNA LADHA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Surgery (License #LP02456 in RI)

🟢

Initial NPI Registration & Enumeration May 24, 2012

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: 1205196250

Entity Type:

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

Enumeration Date: May 24, 2012

Last Update: May 24, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

593 Eddy St

Providence, RI 029034923

Phone: 4014445180

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.