DR. PRATIP KUMAR NAG (M.D. PH.D) – Pediatrics Physician, NPI 1437261963
Pediatrics Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PRATIP KUMAR NAG (M.D. PH.D)
North Court, Dixon Heights, Queensbury, Warren County, New York, 12804, United States
DIXON, IL 610211224
Phone: (815) 285-5437
Fax: (815) 285-8928
Type: Location
150 S Wall St
Coos Bay, OR 974203233
Phone: (541) 435-7200
Type: Location
734 WATERSIDE DR
SOUTH ELGIN, IL 601773715
Phone: (708) 575-7255
Fax: (708) 668-7826
Type: Location
144 North Ct
Dixon, IL 610211224
Phone: (815) 285-5437
Fax: (815) 285-8928
Type: Location
102 S Hennepin Ave
Dixon, IL 610213013
Phone: (815) 288-7711
Fax: (815) 285-8902
Type: Location
712 S Cascade St
Fergus Falls, MN 565372913
Phone: (218) 736-8000
Type: Location
3310 W Main St Ste 100
St Charles, IL 601751024
Phone: (630) 348-3100
Fax: (630) 513-0727
Type: Location
102, South Hennepin Avenue, Dixon, Lee County, Illinois, 61021, United States
DIXON, IL 610213083
Phone: (815) 288-7711
Fax: (815) 285-8902
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: 2023-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20130712000430 | I | Pediatric Medicine | IL | TBD |
| I20221208002071 | I | Pediatric Medicine | MN | TBD |
| I20230907004106 | I | Pediatric Medicine | WV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61021)
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