Dr. Jyoti Pradhananga, MD

  • Simi Valley, CA
  • Internist
NPI1518115047PAC ID9133382450
Medicare services, 2024
316
Medicare patients, 2024
169
Part D claims, 2024
505
Hospital affiliations
6
Industry payments
$1,177
Practice address
2975 N Sycamore Dr, Simi Valley, CA 93065
Practice phone
Call (805) 955-6000
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Adventist Health Simi Valley

Hospital · Simi Valley, California

See all 24 affiliations

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Dr. Jyoti Pradhananga is an internist in Simi Valley, California

Dr. Pradhananga practices at Adventist Health Simi Valley in Simi Valley, California, part of Adventist Health.

Dr. Pradhananga's NPI, 1518115047, was assigned on September 9, 2008. Dr. Pradhananga graduated from Nepal Medical College in 2003. Dr. Pradhananga holds California license C186801.

NPI and contact details
Medicare PAC ID
9133382450
NPI enumeration date
September 9, 2008
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(805) 955-6000
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Female
Estimated age
49
Medical school graduation
2003

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Jyoti Pradhananga practices at Adventist Health Simi Valley in Simi Valley, California

Dr. Pradhananga's primary practice is Adventist Health Simi Valley, at 2975 N Sycamore Dr, Simi Valley, CA 93065 in Ventura County. The practice phone is (805) 955-6000.

Source: Dmand AI Affiliation Data

Dr. Jyoti Pradhananga is affiliated with 7 sites of care and 17 medical groups

Dr. Pradhananga's primary practice is Adventist Health Simi Valley in Simi Valley, California, part of Adventist Health. Dr. Pradhananga is also affiliated with Saint Agnes Medical Center. The medical group on file is Vituity. Dmand AI also links Dr. Pradhananga to 4 more hospitals, 16 medical groups and 1 group practice or clinic, each named with a free account.

See all 24 affiliations for Dr. Pradhananga

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Jyoti Pradhananga's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pradhananga practices, 7 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Adventist Health Simi ValleyAvailable with a free account
+6 more sites and 16 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dmand AI maps EHR vendors, IT decision makers and buying committees across Adventist Health and 6.2K+ hospitals, with verified contacts in the same login.

Dr. Jyoti Pradhananga is one of 16,751 internists in California

Internal medicine is Dr. Pradhananga's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Pradhananga is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Pradhananga's licenses on file in 9 states: California, Florida, New York, Pennsylvania, Connecticut, Oregon, Washington, Maryland and Virginia.

Specialties and state licenses

  • Internal medicine, CaliforniaPrimaryLicense C186801 · 2023 to 2027 · taxonomy 207R00000X
  • Hospitalist, FloridaLicense ME109042 · 2011 to 2027 · taxonomy 208M00000X
  • New York license2025 to 2027
  • Pennsylvania license2020 to 2026
  • Connecticut license2025
  • Oregon license2023 to 2025
  • Washington license2023 to 2025
  • Maryland license2018 to 2021
  • Virginia license2017 to 2018

Clinical focus

Dmand AI lists acute respiratory failure, anemia, atherosclerosis, cardiac arrhythmia, cellulitis, congestive heart failure, dementia and electrolyte disorders among the conditions Dr. Pradhananga treats.

Internists near Dr. Pradhananga

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Jyoti Pradhananga billed Medicare for 316 services in 2024

CMS data shows 316 Medicare services from Dr. Pradhananga across 4 procedure codes in 2024, for 169 Medicare patients. Medicare paid $29,959 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024316
Medicare patients169
Paid by Medicare$29,959
Procedure codes4

Dr. Pradhananga's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 7182024: 31656%

Dr. Pradhananga compared with the California median for internists, 2024

  • Dr. Pradhananga
  • California median
Medicare services
316vs 36112% below
Medicare patients
169vs 15112% above
Part D claims
241vs 42143% below

Medians across 15,815 internists in California with Dmand AI profiles that report each measure.

Dr. Pradhananga's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Pradhananga

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Jyoti Pradhananga treated 169 Medicare patients in 2024, average age 72

CMS counts 169 Medicare patients who saw Dr. Pradhananga in 2024. The largest group is 65 to 74, with 75 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 48% are also on Medicaid. Their average risk score is 2.56, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Pradhananga's median patient age at 70, with 55% women.

Medicare patients, 2024169
Average age72
Average risk score2.56
Also on Medicaid48%

Dr. Pradhananga's Medicare patients by age, 2024

Dr. Pradhananga's Medicare patients by sex, 2024

  • Women8550%
  • Men8450%

Chronic conditions among Dr. Pradhananga's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease64%
  4. Diabetes57%
  5. Heart failure56%
  6. Chronic kidney disease51%
  7. Arthritis50%
  8. Anxiety43%

Share of Medicare patients with each condition. A patient can have several.

Dr. Pradhananga's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women55%
  • Men44%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Jyoti Pradhananga wrote 505 Medicare Part D claims in 2024

In 2024, Dr. Pradhananga wrote 505 Medicare Part D claims for 203 patients. 86% of them were for generic drugs. CMS names the drug for 241 of them, across 13 drugs with 11 or more claims each, at $2,692 in total drug cost. In 2023, CMS named 200 claims across 10 drugs.

Part D claims, 2024505
Drugs named by CMS13
Total drug cost$2,692
Part D patients203

Dr. Pradhananga's Part D claims by kind of drug, 2024

  • Generic432 claims86%
  • Brand-name59 claims12%
  • Other14 claims3%

Dr. Pradhananga's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Pradhananga's Part D claims, 2024

  • Opioids3%16 of 505 claims
  • Antibiotics22%109 of 505 claims
  • Antipsychotics, patients 65 and over2%11 of 505 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2002024: 24121%

Drugs named by CMS: 13 in 2024, 10 in 2023.

See all prescribing by Dr. Pradhananga

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Jyoti Pradhananga takes part in Medicare

Dr. Pradhananga accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Jyoti Pradhananga received $1,177 in industry payments from 2016 to 2024

CMS Open Payments shows 24 general payments to Dr. Pradhananga from 9 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $515.

General payments to Dr. Pradhananga by program year, 2016 to 2024

Companies that paid Dr. Pradhananga the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Pradhananga

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Jyoti Pradhananga graduated from Nepal Medical College

Dr. Pradhananga graduated from Nepal Medical College in 2003.

  1. Medical schoolNepal Medical College
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Jyoti Pradhananga accepts plans from 14 insurance carriers

Dr. Pradhananga is in network with 14 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 11. Check the plan with the practice before a visit.

Plan types Dr. Pradhananga accepts, by number of carriers

  1. Medicare11
  2. PPO9
  3. HMO6
  4. POS5
  5. EPO4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Jyoti Pradhananga's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Jyoti Pradhananga

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Jyoti Pradhananga's NPI number?

Dr. Jyoti Pradhananga's NPI number is 1518115047. It was assigned on September 9, 2008, and it is active in the NPI Registry.

What kind of doctor is Dr. Jyoti Pradhananga?

Dr. Jyoti Pradhananga is an internist in Simi Valley, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Jyoti Pradhananga practice?

Dr. Pradhananga practices at 2975 N Sycamore Dr, Simi Valley, CA 93065. Dr. Pradhananga's primary practice is Adventist Health Simi Valley in Simi Valley, California, part of Adventist Health. Dmand AI also links Dr. Pradhananga to 4 hospitals, 16 medical groups and 1 group practice or clinic.

What is Dr. Jyoti Pradhananga's office phone number?

The practice phone on file for Dr. Pradhananga is (805) 955-6000.

What is Dr. Jyoti Pradhananga's medical license number?

Dr. Pradhananga holds California license C186801, one of the licenses on file in 9 states.

Which states has Dr. Jyoti Pradhananga been licensed in?

Dmand AI has state licenses on file for Dr. Pradhananga in California (2023 to 2027), Florida (2011 to 2027), New York (2025 to 2027), Pennsylvania (2020 to 2026), Connecticut (2025), Oregon (2023 to 2025), Washington (2023 to 2025), Maryland (2018 to 2021) and Virginia (2017 to 2018).

Which hospitals is Dr. Jyoti Pradhananga affiliated with?

Dr. Pradhananga practices at Adventist Health Simi Valley in Simi Valley, California. Dr. Pradhananga is also affiliated with Saint Agnes Medical Center. Dmand AI links Dr. Pradhananga to 4 more hospitals.

What medical group is Dr. Jyoti Pradhananga part of?

Dr. Pradhananga is linked to Vituity. Dmand AI links Dr. Pradhananga to 16 more medical groups.

Does Dr. Jyoti Pradhananga accept Medicare?

Yes. CMS data shows Dr. Pradhananga billed Medicare for 316 services in 2024, and Dr. Pradhananga accepts Medicare assignment.

How many Medicare patients does Dr. Jyoti Pradhananga see?

CMS counts 169 Medicare patients who saw Dr. Pradhananga in 2024, with an average age of 72.

Show 7 more questionsShow fewer questions

Is Dr. Jyoti Pradhananga board certified?

Yes. Dr. Pradhananga is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Jyoti Pradhananga bill to Medicare?

In 2024, Dr. Pradhananga's most billed Medicare services were hospital inpatient care (99233), hospital inpatient care (99223) and hospital inpatient care (99239).

Where did Dr. Jyoti Pradhananga go to medical school?

Dr. Pradhananga graduated from Nepal Medical College in 2003.

What drugs does Dr. Jyoti Pradhananga prescribe most?

In 2024 Medicare Part D data, Dr. Pradhananga's most prescribed drugs by claims were Cefpodoxime Proxetil, Pantoprazole Sodium and Furosemide.

Has Dr. Jyoti Pradhananga received payments from drug or device companies?

CMS Open Payments shows $1,177 in general payments to Dr. Pradhananga from 9 companies from 2016 to 2024. The largest total came from Janssen Pharmaceuticals, Inc.

How long has Dr. Jyoti Pradhananga been practicing?

Dr. Pradhananga graduated from medical school in 2003, 23 years ago.

What insurance does Dr. Jyoti Pradhananga accept?

Dr. Pradhananga is in network with 14 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 11. Check the plan with the practice before a visit.

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