DR. PRAMODH KUMAR WADERA (M.D.) – Anesthesiology Physician, NPI 1417949553

DR. PRAMODH KUMAR WADERA (M.D.) is a healthcare provider. based in Carbondale, Illinois. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 036073410 (IL). The NPI Number for DR. PRAMODH KUMAR WADERA (M.D.) is 1417949553

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRAMODH KUMAR WADERA (M.D.)
NPI
1417949553
Phone
(618) 549-0721
Address
405 W Jackson St
Enumeration Date
16 August 2005
Last Update Date
31 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134002990
Graduation Year
1977 (49 years ago)
PAC ID
9436184512
Group Practice PAC ID
8820171390
Professional Enrollment ID
I20050929000614
Address ID
TX770081532HO1635XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for DR. PRAMODH KUMAR WADERA (M.D.)

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 529-0449

    Type: Location

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 351-4919

    Type: Location

  • 303 Sandy Corner Rd

    El Campo, TX 774379535

    Phone: (281) 265-0774

    Fax: (281) 265-0774

    Type: Location

  • Citywest Boulevard, Houston, Harris County, Texas, 77042-9998, United States

    HOUSTON, TX 770422549

    Phone: (972) 233-1999

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846404

    Phone: (972) 715-5000

    Fax: (281) 265-0774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $564.

Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$564

General + Research + Ownership

Payments

6

Total payment records

General Amount

$564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2021-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050929000614IAnesthesiologyTXTBD
I20200325000139IAnesthesiologyILTBD
I20210709000081IAnesthesiologyAZTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope8078$0
00811Anesthesia for other procedure on large bowel using an endoscope4747$0
00813Anesthesia for procedure on small and large bowel using an endoscope4444$0
00812Anesthesia for exam of colon using an endoscope3333$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 8820171390View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YMS
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Is DR. PRAMODH KUMAR WADERA (M.D.) listed with a National Provider Identifier?
Yes — DR. PRAMODH KUMAR WADERA (M.D.) has NPI 1417949553 on file in the registry.
Would DR. PRAMODH KUMAR WADERA (M.D.) appear as active to a payer?
You can treat DR. PRAMODH KUMAR WADERA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. PRAMODH KUMAR WADERA (M.D.)?
At a glance, DR. PRAMODH KUMAR WADERA (M.D.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. PRAMODH KUMAR WADERA (M.D.)?
Travel planning: use Carbondale, Illinois as the reference point for DR. PRAMODH KUMAR WADERA (M.D.), then confirm.
Does DR. PRAMODH KUMAR WADERA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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