SANJEEV KUMAR PRADHAN (M.D.) – Vascular Surgery Physician, NPI 1750557658

SANJEEV KUMAR PRADHAN (M.D.) is a healthcare provider. based in Oak lawn, Illinois. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 036-120607 (IL). The NPI Number for SANJEEV KUMAR PRADHAN (M.D.) is 1750557658

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
SANJEEV KUMAR PRADHAN (M.D.)
NPI
1750557658
Phone
(708) 346-4040
Address
4400 W 95TH ST
Enumeration Date
1 May 2008
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
7082832600
Graduation Year
1998 (28 years ago)
PAC ID
2668548561
Professional Enrollment ID
I20080828000570
Address ID
IL604611099OL20060DRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

240 VASCULAR SURGERY in IL

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Provider Addresses for SANJEEV KUMAR PRADHAN (M.D.)

  • Advocate Christ Medical Center, 4400, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    SUITE 205

    OAK LAWN, IL 604532654

    Phone: (708) 346-4040

    Fax: (708) 346-3287

    Type: Location

  • 15538 ROYAL GLEN CT

    ORLAND PARK, IL 604674577

    Phone: (708) 821-7794

    Type: Mailing

  • 20060 GOVERNORS DR STE 100

    OLYMPIA FIELDS, IL 604611029

    Phone: (708) 821-7794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $427.

Total Amount is formed as General ($427) + Research ($0) + Ownership ($0) = $427.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($164).

Total Amount

$427

General + Research + Ownership

Payments

15

Total payment records

General Amount

$427

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2008-08-28

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
I20080828000570IVascular SurgeryILTBD

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
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml1,18840$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers8352$0
93970Ultrasound study of arm or leg veins with compression and maneuvers7269$0
99213Established patient office or other outpatient visit, 20-29 minutes5048$0
99212Established patient office or other outpatient visit, 10-19 minutes4735$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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Reviews

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Frequently asked questions

What is SANJEEV KUMAR PRADHAN (M.D.)'s NPI number?
SANJEEV KUMAR PRADHAN (M.D.)'s NPI is 1750557658 — the number used across U.S. healthcare to identify this provider.
Is SANJEEV KUMAR PRADHAN (M.D.) still an active registrant?
SANJEEV KUMAR PRADHAN (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for SANJEEV KUMAR PRADHAN (M.D.)?
At a glance, SANJEEV KUMAR PRADHAN (M.D.) is tied to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SANJEEV KUMAR PRADHAN (M.D.)?
Travel planning: use Oak Lawn, Illinois as the reference point for SANJEEV KUMAR PRADHAN (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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