SUSHMA RAJDEEP PRADHAN (MD) – Pediatrics Physician, NPI 1922185545

SUSHMA RAJDEEP PRADHAN (MD) is a healthcare provider. based in Buffalo, Minnesota. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 60313 (MN). The NPI Number for SUSHMA RAJDEEP PRADHAN (MD) is 1922185545

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
SUSHMA RAJDEEP PRADHAN (MD)
NPI
1922185545
Phone
(763) 682-5225
Address
303 CATLIN ST
Enumeration Date
1 November 2006
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7636821212
Graduation Year
1999 (27 years ago)
PAC ID
2961536727
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20160525000277
Address ID
MN553131947BU303XXSTXX300

Contacts

Secure Messaging
spradhan323686@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

717 PEDIATRIC MEDICINE in MN

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Provider Addresses for SUSHMA RAJDEEP PRADHAN (MD)

  • Buffalo Hospital, 303, Catlin Street, Buffalo, Wright County, Minnesota, 55313, United States

    BUFFALO, MN 553131947

    Phone: (763) 682-5225

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

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: 2016-05-25

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
I20160525000277IPediatric MedicineMNTBD

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
36415Insertion of needle into vein for collection of blood sample2824$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1211$0
View full utilization report →

Insurance plans in this area (ZIP 55313)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Does SUSHMA RAJDEEP PRADHAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUSHMA RAJDEEP PRADHAN (MD) uses 1922185545.
Is SUSHMA RAJDEEP PRADHAN (MD) listed as active for patients and plans?
The listing shows SUSHMA RAJDEEP PRADHAN (MD) as active in the NPI system.
What is SUSHMA RAJDEEP PRADHAN (MD) best known for clinically?
Directory data describes SUSHMA RAJDEEP PRADHAN (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SUSHMA RAJDEEP PRADHAN (MD) on a map?
Expect Buffalo, Minnesota as a primary anchor for SUSHMA RAJDEEP PRADHAN (MD) unless the record lists multiple sites.
Is the information about SUSHMA RAJDEEP PRADHAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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