DR. THEJESWI PUJAR (M.D) – Nephrology Physician, NPI 1407008055

DR. THEJESWI PUJAR (M.D) is a healthcare provider. based in Benton, Illinois. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 39027 (IA). The NPI Number for DR. THEJESWI PUJAR (M.D) is 1407008055

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEJESWI PUJAR (M.D)
NPI
1407008055
Phone
(774) 253-2457
Address
201 BAILEY LN
Enumeration Date
15 October 2008
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172246423
Graduation Year
2001 (25 years ago)
PAC ID
1254457732
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20140528000001
Address ID
IL623012719QU927XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness85
Years active:17State licenses:4Digital endpointsOther names

109 NEPHROLOGY in IA

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Provider Addresses for DR. THEJESWI PUJAR (M.D)

  • Franklin Hospital, 201, Bailey Lane, Benton, Franklin County, Illinois, 62812, United States

    BENTON, IL 628121969

    Phone: (774) 253-2457

    Type: Mailing

  • Allen Hospital, 1825, Logan Avenue, Waterloo, Black Hawk County, Iowa, 50703, United States

    ALLEN HOSPITAL

    WATERLOO, IA 507031916

    Phone: (319) 234-4431

    Type: Location

  • 1005 BROADWAY ST

    QUINCY, IL 623012834

    Phone: (217) 214-6260

    Fax: (217) 228-2390

    Type: Location

  • 927 BROADWAY ST

    QUINCY, IL 623012719

    Phone: (217) 214-6260

    Fax: (217) 228-2390

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $361.

Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($96).

Total Amount

$361

General + Research + Ownership

Payments

20

Total payment records

General Amount

$361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2024-01-26

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
I20140528000001IInternal MedicineILTBD
I20240126002677INephrologyMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2114$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2012$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 62812)

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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: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. THEJESWI PUJAR (M.D)?
NPI 1407008055 is assigned to DR. THEJESWI PUJAR (M.D) under the national enumeration system.
Is DR. THEJESWI PUJAR (M.D)'s NPI currently valid?
The extract we use shows DR. THEJESWI PUJAR (M.D) as active.
What field does DR. THEJESWI PUJAR (M.D) work in?
You can think of DR. THEJESWI PUJAR (M.D) as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. THEJESWI PUJAR (M.D)?
We surface Benton, Illinois for DR. THEJESWI PUJAR (M.D) based on available NPPES addresses.
Is DR. THEJESWI PUJAR (M.D) a real provider?
This page reflects official NPPES data for NPI 1407008055. Always confirm identity and privileges with the practice and licensing boards.

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