ANKUR PRADHAN (MD) – Hospitalist Physician, NPI 1043708407
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,297 HOSPITALIST in TX
Provider Addresses for ANKUR PRADHAN (MD)
605 S Conroe Medical Dr
Conroe, TX 77304
Phone: (936) 539-4004
Type: Location
18951 N Memorial Dr Ste 103W
Humble, TX 773384217
Phone: (281) 540-8409
Type: Location
800 E Dawson St
Tyler, TX 757012036
Phone: (903) 606-7264
Type: Location
909 FROSTWOOD DR STE 1.100
HOUSTON, TX 770242301
Phone: (713) 338-5519
Type: Mailing
18951 N MEMORIAL DR STE 103W
HUMBLE, TX 773384217
Phone: (281) 540-8409
Type: Location
605, South Conroe Medical Drive, Conroe, Montgomery County, Texas, 77304, United States
CONROE, TX 773044722
Phone: (936) 539-4004
Type: Mailing
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 077015792
Phone: (732) 807-0877
Type: Mailing
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Phone: (732) 783-4746
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: 2026-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20210721003370 | I | Hospitalist | TX | TBD |
| I20230314000288 | I | Hospitalist | NH | TBD |
| I20240606000685 | I | Family Practice | NJ | TBD |
| I20241104003257 | I | Family Practice | LA | TBD |
| I20260312001817 | I | Family Practice | FL | TBD |
| I20260313000843 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 400 | 182 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 157 | 153 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 84 | 31 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 63 | 53 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | 46 | $0 |
Insurance plans in this area (ZIP 77304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | LA | |
| Internal Medicine | LA | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | LA | |
| Hospitalist, Family Practice | TX | |
| Internal Medicine | ONTARIO | |
| Nurse Practitioner | LA | |
| Family Practice | LA | |
| Internal Medicine | LA | |
| Internal Medicine | VA |
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