PRADEEP KUMAR MANDYA JAVARAYEE (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1033550298
Neurology with Special Qualifications in Child Neurology Physician
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NPPES metrics only — not quality of care.
330 NEUROLOGY in KY
Provider Addresses for PRADEEP KUMAR MANDYA JAVARAYEE (M.D.)
PO BOX 776879
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Phone: (502) 588-3650
Fax: (502) 588-7852
Type: Location
1655 W Mequon Rd
Mequon, WI 530923254
Phone: (414) 607-5280
Fax: (414) 607-5288
Type: Location
9200 W Wisconsin Ave
Milwaukee, WI 532263522
Phone: (414) 805-6600
Fax: (414) 805-6622
Type: Location
9000 W WISCONSIN AVE
MILWAUKEE, WI 532264874
Phone: (414) 266-3464
Fax: (414) 266-3466
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190516001459 | I | Neurology | KY | TBD |
| I20201228002261 | I | Neurology | IN | TBD |
| I20221026001915 | I | Neurology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Clinical Psychologist | WI | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | WI | |
| Anesthesiology Assistant | WI | |
| Pediatric Medicine, Pulmonary Disease | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology, Pediatric Medicine | AZ | |
| Diagnostic Radiology, Interventional Radiology | WI | |
| Anesthesiology Assistant | WI | |
| Clinical Psychologist | WI |
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