PUSHPA DANGI – Internal Medicine Physician, NPI 1164157871

PUSHPA DANGI is a healthcare provider. based in Evanston, Illinois. specializing in INTERNAL MEDICINE. They hold a License No. 73905 (TN). The NPI Number for PUSHPA DANGI is 1164157871

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
PUSHPA DANGI
NPI
1164157871
Phone
(224) 248-0157
Address
356 RIDGE AVE APT 6-2
Enumeration Date
18 July 2022
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9315282541
Graduation Year
2017 (9 years ago)
PAC ID
6507372778
Group Practice PAC ID
1254794282
Professional Enrollment ID
I20250723003099
Address ID
TN385014294CO1XXXXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for PUSHPA DANGI

  • 356 RIDGE AVE APT 6-2

    EVANSTON, IL 602023360

    Phone: (224) 248-0157

    Type: Mailing

  • 1 MEDICAL CENTER BLVD

    COOKEVILLE, TN 385014294

    Phone: (931) 528-2541

    Type: Mailing

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: 2025-07-23

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
I20250723003099IInternal MedicineTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60202)

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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: 1254794282View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineTX
Internal MedicineCT
Internal Medicine, HospitalistTN
Nurse PractitionerTN
Internal MedicineNV
Nurse PractitionerUT
Internal MedicineTN
H O S P I T A L I S TTN
Internal MedicineTN
Hospitalist, Internal MedicineAL

Reviews

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Frequently asked questions

What number should I use to identify PUSHPA DANGI for billing?
Administrative and clinical systems typically use NPI 1164157871 for PUSHPA DANGI.
Should I treat PUSHPA DANGI as an active provider?
Patients and plans typically see PUSHPA DANGI as active in the national extract.
What services align with PUSHPA DANGI's listing?
PUSHPA DANGI's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is PUSHPA DANGI tied to Evanston, Illinois?
If you are local to Evanston, Illinois, PUSHPA DANGI may be relevant to your search.
Can I export PUSHPA DANGI's record?
You can download the official NPPES record; we summarize key fields for readability.

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