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DR. DEEPAK RAVINDRA PRADHAN MD
NPI 1124244587
Internal Medicine - Pulmonary Disease in Providence, RI

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
164 SUMMIT AVE., PROVIDENCE, RI 02906(401) 793-2104(401) 793-4047 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Deepak Ravindra Pradhan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEEPAK RAVINDRA PRADHAN MD (NPI 1124244587) is an individual pulmonary disease provider in Providence, Rhode Island, licensed in New York (NY258094) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Bellevue Hospital Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2006).

NPPES Registry Identity

NPI1124244587
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DEEPAK RAVINDRA PRADHANCredential: MD
Location Address164 SUMMIT AVE.Providence, RI 02906
Mailing Address60 Riverside Blvd, Apt. 816New York, NY 10069-0201 · (215) 880-6674
Phone(401) 793-2104
Fax(401) 793-4047
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2006
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 19, 2013
✔ NPI 1124244587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · NY258094
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
164 SUMMIT AVE., Providence, RI 02906
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Deepak Ravindra 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.

PECOS PAC ID6507916459
PECOS Enrollment IDI20140402002076
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
93 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NADEEM ANIS MD
Internal Medicine
164 SUMMIT AVE.
PROVIDENCE, RI 02906
Providence County (401) 793-2104
SYED NAQVI MD
Internal Medicine
164 SUMMIT AVE.
PROVIDENCE, RI 02906
Providence County (401) 793-2104
DR. KRISTINA W BERGLUND MD
Internal Medicine
164 SUMMIT AVE.
PROVIDENCE, RI 02906
Providence County (401) 793-2104

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 Deepak Pradhan's NPI number?

The NPI number for Deepak Pradhan is 1124244587. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Deepak Pradhan located?

Deepak Pradhan practices at 164 Summit Ave., Providence, RI 02906. The listed phone number is (401) 793-2104.

What is Deepak Pradhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Deepak Pradhan enrolled in Medicare?

Yes. Deepak 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.

Is Deepak Pradhan affiliated with any hospitals?

According to CMS data, Deepak Pradhan is affiliated with Bellevue Hospital Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Deepak Pradhan was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.