PAWAN DAMODHAR SARDA (M.D.) – Cardiovascular Disease Physician, NPI 1063720993

PAWAN DAMODHAR SARDA (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 258620 (NY). The NPI Number for PAWAN DAMODHAR SARDA (M.D.) is 1063720993

Main info

Male
23 Years Of Experience
Name
PAWAN DAMODHAR SARDA (M.D.)
NPI
1063720993
Phone
(309) 672-4670
Address
112 NE CRESCENT AVE
Enumeration Date
14 September 2010
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7042260500
Graduation Year
2003 (23 years ago)
PAC ID
5890018758
Group Practice PAC ID
1153231907
Professional Enrollment ID
I20220527001678
Address ID
NC281124017MO1640XBLVD400

Contacts

Secure Messaging
psarda1046361@direct.novanthealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness95
Years active:15State licenses:3Other names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for PAWAN DAMODHAR SARDA (M.D.)

  • 112 NE CRESCENT AVE

    PEORIA, IL 616061901

    Phone: (309) 672-4670

    Type: Mailing

  • PO BOX 60447

    CHARLOTTE, NC 282600447

    Phone: (704) 226-0500

    Fax: (704) 226-0599

    Type: Mailing

  • 1640 E ROOSEVELT BLVD

    MONROE, NC 281124017

    Phone: (704) 226-0500

    Fax: (704) 226-0599

    Type: Location

  • 112 NE Crescent Ave

    Peoria, IL 616061901

    Phone: (309) 672-4670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $606.

Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($172).

Total Amount

$606

General + Research + Ownership

Payments

28

Total payment records

General Amount

$606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141229001078ICardiovascular Disease (Cardiology)ILTBD
I20220527001678ICardiovascular Disease (Cardiology)NCTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes340238$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function230227$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only162144$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14775$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8585$0
View full utilization report →

Insurance plans in this area (ZIP 61606)

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Provider's Procedures

PAWAN DAMODHAR SARDA (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies107107
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report509418

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153231907View full group profile
NameSpecialtyState
-SC
Nurse PractitionerNC
Certified Registered Nurse Anesthetist (Crna)NC
Nurse PractitionerNC
-VA
-NC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
-NC
-NC

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Frequently asked questions

Can I verify PAWAN DAMODHAR SARDA (M.D.) with an NPI only?
You can start verification with NPI 1063720993 for PAWAN DAMODHAR SARDA (M.D.), then check state licensing separately.
Is PAWAN DAMODHAR SARDA (M.D.) still practicing?
PAWAN DAMODHAR SARDA (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes PAWAN DAMODHAR SARDA (M.D.)?
For research purposes, treat PAWAN DAMODHAR SARDA (M.D.) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for PAWAN DAMODHAR SARDA (M.D.)?
PAWAN DAMODHAR SARDA (M.D.)'s geographic hint is Peoria, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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