DR. AJEET D GORDHAN (M.D.) – Neuroradiology Physician, NPI 1306892369

DR. AJEET D GORDHAN (M.D.) is a healthcare provider. based in Normal, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 36110222 (IL). The NPI Number for DR. AJEET D GORDHAN (M.D.) is 1306892369

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. AJEET D GORDHAN (M.D.)
NPI
1306892369
Phone
(309) 452-1788
Address
2200 FORT JESSE RD
Enumeration Date
25 May 2006
Last Update Date
16 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096630222
Graduation Year
1991 (35 years ago)
PAC ID
9436139409
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20040721000579
Address ID
IL617043567BL2204XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for DR. AJEET D GORDHAN (M.D.)

  • Fort Jesse Road, Normal, McLean County, Illinois, 61761, United States

    SUITE 280

    NORMAL, IL 617616286

    Phone: (309) 452-1788

    Fax: (309) 862-1302

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $916.

Total Amount is formed as General ($916) + Research ($0) + Ownership ($0) = $916.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: MicroVention, Inc. ($474).

Total Amount

$916

General + Research + Ownership

Payments

10

Total payment records

General Amount

$916

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2004-07-21

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
I20040721000579IDiagnostic RadiologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6155$0
70546Mri scan of blood vessels of head before and after contrast3131$0
99212Established patient office or other outpatient visit, 10-19 minutes2826$0
99205New patient office or other outpatient visit, 60-74 minutes2424$0
99214Established patient office or other outpatient visit, 30-39 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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Provider's Procedures

DR. AJEET D GORDHAN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front750535
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views1615
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views3634

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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

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Frequently asked questions

Does DR. AJEET D GORDHAN (M.D.) have a public NPI I can cite?
Public records show DR. AJEET D GORDHAN (M.D.) under NPI 1306892369.
Is DR. AJEET D GORDHAN (M.D.)'s NPI status active today?
Active status means DR. AJEET D GORDHAN (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. AJEET D GORDHAN (M.D.)?
NPPES ties DR. AJEET D GORDHAN (M.D.) to Neuroradiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. AJEET D GORDHAN (M.D.)?
DR. AJEET D GORDHAN (M.D.) shows a connection to Normal, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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