DR. NISHANT PODDAR (MD) – Hematology & Oncology Physician, NPI 1124387675

DR. NISHANT PODDAR (MD) is a healthcare provider. based in Carterville, Illinois. specializing in Hematology & Oncology Physician. They hold the professional credentials MD. They hold a License No. 2012034335 (MO). The NPI Number for DR. NISHANT PODDAR (MD) is 1124387675

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. NISHANT PODDAR (MD)
NPI
1124387675
Phone
(618) 985-3333
Address
1400 Pin Oak Dr
Enumeration Date
3 May 2012
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147471171
Graduation Year
2003 (23 years ago)
PAC ID
9638324551
Group Practice PAC ID
4789945163
Professional Enrollment ID
I20190111000665

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

Provider Addresses for DR. NISHANT PODDAR (MD)

  • 1400 Pin Oak Dr

    Carterville, IL 629181600

    Phone: (618) 985-3333

    Fax: (618) 985-1318

    Type: Location

  • 8 SUNSET HILLS PROFESSIONAL CTR

    STE 100

    EDWARDSVILLE, IL 620253760

    Phone: (618) 747-1171

    Fax: (618) 362-3192

    Type: Location

  • 660 S EUCLID AVE

    CB 8056

    SAINT LOUIS, MO 631101010

    Phone: (314) 747-1171

    Fax: (314) 362-3192

    Type: Mailing

  • 13125 BELLERIVE FARM DR

    CREVE COEUR, MO 631416099

    Phone:

    Type: Mailing

  • 15945 CLAYTON RD STE 120

    BALLWIN, MO 630112490

    Phone: (636) 256-5000

    Type: Location

  • 1418 CROSS ST

    DIV IM MEDICAL ONCOLOGY, STE 180

    SHILOH, IL 622692988

    Phone: (618) 607-1340

    Fax: (618) 622-9724

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $570.

Total Amount is formed as General ($570) + Research ($0) + Ownership ($0) = $570.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($288).

Total Amount

$570

General + Research + Ownership

Payments

15

Total payment records

General Amount

$570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-01-11

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
I20130226000592IHematology/OncologyMOTBD
I20190111000665IHematology/OncologyILTBD

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 minutes202153$0
99215Established patient office or other outpatient visit, 40-54 minutes3832$0
99213Established patient office or other outpatient visit, 20-29 minutes3636$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 62918)

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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: 4789945163View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerIL
Medical Oncology, Internal MedicineIL
Radiation OncologyIL
Radiation OncologyIL
Radiation OncologyIL
O B S T E T R I C S/ G Y N E C O L O G YMO
Physician AssistantIL
Radiation OncologyIL
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

How do I look up DR. NISHANT PODDAR (MD) by NPI?
Use NPI 1124387675 when you need to reference DR. NISHANT PODDAR (MD) in forms, claims, or directories.
Is DR. NISHANT PODDAR (MD)'s NPI currently valid?
The extract we use shows DR. NISHANT PODDAR (MD) as active.
What does DR. NISHANT PODDAR (MD) treat or focus on?
Patients typically see DR. NISHANT PODDAR (MD) under the specialty Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Does DR. NISHANT PODDAR (MD) practice in Illinois?
You will see Carterville, Illinois on file for DR. NISHANT PODDAR (MD) alongside any extra practice locations.
How can I contact DR. NISHANT PODDAR (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.