MS. VIDYA PREMANAND NAGRALE (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1265750178
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
766 PATHOLOGY in IL
Provider Addresses for MS. VIDYA PREMANAND NAGRALE (M.D.)
1740 W. Taylor
University of Illinois
Chicago, IL 60612
Phone: (312) 996-7312
Fax: (312) 996-7586
Type: Location
ELM AND CARLTON ST
BUFFALO, NY 142630001
Phone: (716) 845-2300
Type: Mailing
840 S. WOOD ST, SUITE 130CSN DEPT OF PATHOLOGY (MC847)
UNIVERSITY OF ILLINOIS AT CHICAGO
CHICAGO, IL 60612
Phone: (312) 996-7312
Fax: (312) 996-7586
Type: Mailing
1740 W. TAYLOR
UNIVERSITY OF ILLINOIS
CHICAGO, IL 60612
Phone: (312) 996-7312
Fax: (312) 996-7586
Type: Location
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: 2025-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240429001265 | I | Pathology | NY | TBD |
| I20250820000053 | I | Pathology | TX | 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 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | NY | |
| Sleep Medicine, Critical Care (Intensivists) | TX | |
| Surgical Oncology | NY | |
| General Surgery | TN | |
| General Surgery | GA | |
| U R O L O G Y | NY | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
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