DR. NEIL PANDYA (M.D.) – Internal Medicine Physician, NPI 1124403050

DR. NEIL PANDYA (M.D.) is a healthcare provider. based in Ottawa, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036.144697 (IL). The NPI Number for DR. NEIL PANDYA (M.D.) is 1124403050

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. NEIL PANDYA (M.D.)
NPI
1124403050
Phone
(815) 433-3100
Address
1100 E NORRIS DR
Enumeration Date
21 July 2015
Last Update Date
2 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778667123
Graduation Year
2015 (11 years ago)
PAC ID
2466757117
Group Practice PAC ID
9830377688
Professional Enrollment ID
I20180831001425
Address ID
IL605481253SA515XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. NEIL PANDYA (M.D.)

  • 1100 E NORRIS DR

    OTTAWA, IL 613501604

    Phone: (815) 433-3100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180831001425IInternal MedicineILTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less1,299348$0
Q4236Carepatch, per square centimeter75814$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes755267$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes420192$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less21784$0
View full utilization report →

Insurance plans in this area (ZIP 61350)

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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: 9830377688View full group profile
NameSpecialtyState
Family Practice, Peripheral Vascular DiseaseFL
General SurgeryNJ
Family Practice, Peripheral Vascular DiseaseFL
General SurgeryIL
Peripheral Vascular Disease, Family PracticeMO
Family PracticeIN
Nurse PractitionerIL
Family Practice, Peripheral Vascular DiseaseFL
Family Practice, Peripheral Vascular DiseaseIL
Family Practice, Peripheral Vascular DiseaseIL

Reviews

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Frequently asked questions

How do I look up DR. NEIL PANDYA (M.D.) by NPI?
Use NPI 1124403050 when you need to reference DR. NEIL PANDYA (M.D.) in forms, claims, or directories.
Is DR. NEIL PANDYA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. NEIL PANDYA (M.D.)?
The page reflects Internal Medicine Physician for DR. NEIL PANDYA (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NEIL PANDYA (M.D.)?
The page summarizes Ottawa, Illinois for DR. NEIL PANDYA (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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