PRADEEP R. BANKULLA (MD) – Diagnostic Radiology Physician, NPI 1235171968
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for PRADEEP R. BANKULLA (MD)
10800 Knights Rd
Philadelphia, PA 191144200
Phone: (215) 612-4811
Fax: (215) 612-5494
Type: Location
2451 Grant Ave
Philadelphia, PA 191141031
Phone: (215) 464-8050
Fax: (215) 673-6576
Type: Location
10160 Bustleton Ave
Philadelphia, PA 191163749
Phone: (215) 827-8200
Fax: (215) 969-7374
Type: Location
380 Oxford Valley Rd
Langhorne, PA 190478304
Phone: (215) 949-5111
Fax: (215) 949-7815
Type: Location
PO BOX 782743
ATTN: CREDENTIALING
PHILADELPHIA, PA 191782743
Phone: (602) 910-6887
Fax: (215) 612-5077
Type: Mailing
Jefferson Frankford Hospital, 4900, Frankford Avenue, Philadelphia, Philadelphia County, Pennsylvania, 19124, United States
ATTN: RADIOLOGY
PHILADELPHIA, PA 191242618
Phone: (602) 910-6887
Fax: (215) 612-5077
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-07-07 • Largest payer in this snapshot: Abbott Laboratories ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $17 |
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: 2007-12-11
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070726000592 | I | Diagnostic Radiology | PA | TBD |
| I20071211000296 | I | Diagnostic Radiology | NJ | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 692 | 639 | $0 |
| 73562 | X-ray of knee, 3 views | 306 | 244 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 294 | 261 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 263 | 237 | $0 |
| 73502 | X-ray of hip, 2-3 views | 260 | 255 | $0 |
Insurance plans in this area (ZIP 19114)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | PA | 71010 | X-ray of chest, 1 view, front | 176 | 158 |
| DIAGNOSTIC RADIOLOGY | PA | 71250 | CT scan chest | 82 | 82 |
| DIAGNOSTIC RADIOLOGY | PA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 14 | 13 |
| DIAGNOSTIC RADIOLOGY | PA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | PA | |
| Diagnostic Radiology | NJ | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.