DR. PRADEEP K PRADHAN (MD) – Internal Medicine Physician, NPI 1568465854
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,930 INTERNAL MEDICINE in VA
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Provider Addresses for DR. PRADEEP K PRADHAN (MD)
Park Avenue, Danville, Danville City, Virginia, 24541, United States
STE F
DANVILLE, VA 245414630
Phone: (434) 857-3600
Fax: (434) 200-1654
Mailing address matches the actual address.
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: 2007-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1043 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20070525000362 | I | Internal Medicine | VA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,160 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 791 | 338 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 743 | 334 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 388 | 282 | $0 |
| 99497 | Advance care planning, first 30 minutes | 247 | 245 | $0 |
Insurance plans in this area (ZIP 24541)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Physical Medicine And Rehabilitation | VA | |
| Orthopedic Surgery | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | VA | |
| Nurse Practitioner | VA | |
| Orthopedic Surgery | VA | |
| N E U R O L O G Y | MA | |
| Hand Surgery | VA | |
| Orthopedic Surgery | FL | |
| Family Practice | VA |
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