DR. EREZ VIDAN (M.D.) – Diagnostic Radiology Physician, NPI 1982818373
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
3,686 DIAGNOSTIC RADIOLOGY in NY
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Provider Addresses for DR. EREZ VIDAN (M.D.)
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
SUITE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
Saint Joseph's Medical Center, 127, South Broadway, Ludlow, Yonkers, New York, 10701, United States
YONKERS, NY 107014006
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-3850
Type: Location
1001 Sam Perry Blvd
Fredericksburg, VA 224014453
Phone: (540) 741-5610
Type: Location
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: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101228000135 | I | Diagnostic Radiology | NY | TBD |
| I20230601003072 | I | Diagnostic Radiology | MA | TBD |
| I20240813004115 | I | Diagnostic Radiology | NV | TBD |
| I20250729002947 | I | Diagnostic Radiology | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 182 | 181 | $0 |
| 71045 | X-ray of chest, 1 view | 180 | 171 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 135 | 135 | $0 |
| 71046 | X-ray of chest, 2 views | 112 | 111 | $0 |
| 72125 | Ct scan of upper spine without contrast | 95 | 95 | $0 |
Insurance plans in this area (ZIP 55344)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | NC |
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