Pronoti Nigam, MD
Pediatrics · San Jose
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 4
- 1 carrier
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plans that list them
4 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Nigam’s office at (408) 238-8303 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
California Medical Board record
Licence C43125 · Current
Licensed to practise in California · since 1993 · expires 2028-11-30 · Kanpur University, G. S. V. M. Medical College.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$0 in 2024
Medicaid paid $0 for 166 billed services this clinician did in 2024, up to 24 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| LIMITED VISUAL FIELD XM UNI/BI I&R | 17 | $0 |
| Short return visit (20+ min) | 149 | $0 |
| 2024 | 166 | 2 | 24 | $0 |
| 2023 | 285 | 3 | 33 | $1,359 |
| 2022 | 248 | 3 | 29 | $465 |
| 2021 | 220 | 5 | 22 | $2,068 |
| 2020 | 483 | 6 | 60 | $3,852 |
| 2019 | 803 | 9 | 55 | $5,561 |
| 2018 | 742 | 6 | 35 | $4,270 |
See the largest Medicaid services in earlier years
2023
| LIMITED VISUAL FIELD XM UNI/BI I&R | 29 | $763 |
| Pure tone audiometry (threshold); air only | 26 | $386 |
| Short return visit (20+ min) | 230 | $210 |
2022
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 12 | $439 |
| Short return visit (20+ min) | 124 | $26 |
| Return visit (30+ min) | 112 | $0 |
2021
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) | 30 | $1,209 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 16 | $338 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 43 | $314 |
| Screening test, pure tone, air only | 32 | $206 |
| Return visit (30+ min) | 99 | $0 |
2020
| Screening test, pure tone, air only | 138 | $1,234 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 26 | $1,034 |
| Return visit (30+ min) | 218 | $810 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) | 12 | $363 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 46 | $317 |
| Short return visit (20+ min) | 43 | $93 |
2019
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) | 43 | $2,000 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 58 | $1,845 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 75 | $486 |
| Screening test, pure tone, air only | 44 | $338 |
| Return visit (30+ min) | 383 | $308 |
| Short return visit (20+ min) | 155 | $280 |
| Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use | 16 | $108 |
| Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | 15 | $98 |
| Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use | 14 | $98 |
2018
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 37 | $1,644 |
| Pure tone audiometry (threshold); air only | 66 | $653 |
| Short return visit (20+ min) | 253 | $607 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 72 | $573 |
| Return visit (30+ min) | 298 | $430 |
| LIMITED VISUAL FIELD XM UNI/BI I&R | 16 | $363 |
Money from drug and device companies
$13 in 2020
A payment is not proof that care is biased.
| Cranial Technologies | Doc Band | $13 | 1 payment
|
See the published payment
| Cranial Technologies | Meals · 2020-12-03 | Doc Band | $13 |
Professional record
- NPI
- 1053390310
- Licence
- CA C43125California C43125: Current · expires 2028-11-30
More record details
- Sole proprietor
- No
- Taxonomy
- Pediatrics (208000000X)
- Mailing address
- 4205 San Felipe Rd, #110, San Jose, CA, 95135
- NPI first listed
- 2006-01-13
- NPI last updated
- 2013-03-13
This is when the NPI record was last certified, not a medical board exam.