ANKUR PRADHAN MD
NPI 1043708407
Hospitalist in Hackensack, NJ
About Ankur Pradhan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANKUR PRADHAN MD (NPI 1043708407) is an individual hospitalist provider in Hackensack, New Jersey, licensed in New Jersey (25MA12196000) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ankur Pradhan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
21Medicare enrollment records show Ankur Pradhan reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Union City, IN 47390
- Reassigned Medicare billing, Indiana enrollment
- 945 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 1,304 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: St Vincent's Ambulatory Care Inc
- 544 clinicians in this Medicare group
Pensacola, FL 32504
- Reassigned Medicare billing, Florida enrollment
- 446 clinicians in this Medicare group
Alexandria, LA 71301
- Reassigned Medicare billing, Louisiana enrollment
- 111 clinicians in this Medicare group
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 181 clinicians in this Medicare group
Bossier City, LA 71111
- Reassigned Medicare billing, Louisiana enrollment
- 104 clinicians in this Medicare group
Longview, TX 75601
- Reassigned Medicare billing, Texas enrollment
- 334 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJJfk Medical Center
Acute Care Hospitals · Edison, NJChristus Jasper Memorial Hospital
Acute Care Hospitals · Jasper, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ankur Pradhan's NPI number?
The NPI number for Ankur Pradhan is 1043708407. It was assigned to this individual provider in the NPPES registry on May 1, 2018.
Where is Ankur Pradhan located?
Ankur Pradhan practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (732) 783-4746.
What is Ankur Pradhan's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Ankur Pradhan enrolled in Medicare?
Yes. Ankur Pradhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ankur Pradhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ankur Pradhan reassigns Medicare benefits to 21 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), St. Vincent Medical Group, Inc. (Union City, IN), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Saint Thomas Medical Partners (Nashville, TN), St Vincents Ambulatory Care Inc (Jacksonville, FL) and 16 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ankur Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ankur Pradhan accept?
Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and CHRISTUS Health Plan and 12 other insurers list Ankur Pradhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ankur Pradhan affiliated with any hospitals?
According to CMS data, Ankur Pradhan is affiliated with Hackensack University Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Christus Jasper Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Ankur Pradhan was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ankur Pradhan, MD · NPI 1043708407
Hospitalist physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 1, 2018.
## Identity
- **NPI:** 1043708407 (Entity type: Individual)
- **Enumerated:** May 1, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 25MA12196000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (732) 783-4746
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 21 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); St. Vincent Medical Group, Inc. (NPI 1871866384, Union City, IN); Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI); Saint Thomas Medical Partners (NPI 1558506980, Nashville, TN); St Vincents Ambulatory Care Inc (NPI 1417987124, Jacksonville, FL); and 16 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043708407) · Data from the CMS NPPES public registry.