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FARUQ PRADHAN MD
NPI 1154738979
Internal Medicine - Hepatology in Omaha, NE

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
982000 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 559-6209 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2023, Jul 12, 2018, Dec 9, 2015 (3 updates tracked since 2015).

About Faruq Pradhan Md NPPES

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

FARUQ PRADHAN MD (NPI 1154738979) is an individual hepatology provider in Omaha, Nebraska, licensed in Nebraska (34311) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154738979
Entity TypeIndividualMale
Primary Taxonomy207RI0008X
Provider Legal NameFARUQ PRADHANCredential: MD
Location Address982000 NEBRASKA MEDICAL CTROmaha, NE 68198-2000
Mailing Address982000 Nebraska Medical CtrOmaha, NE 68198-2000 · (402) 559-6209
Phone(402) 559-6209
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 14, 2014
Last NPPES UpdateFebruary 13, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
✔ NPI 1154738979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in NE · 34311
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 34311 (NE)
982000 NEBRASKA MEDICAL CTR, Omaha, NE 68198
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Faruq 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 ID8123426343
PECOS Enrollment IDI20220520000532
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 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.

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.
319 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
56 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Methodist Fremont Health

Acute Care Hospitals · Fremont, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280077
Location450 East 23rd StFremont, NE 68025 · Dodge County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers11 claims11 services$18.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ALEXANDER KUSNIK MD
Student in an Organized Health Care Education/Training Program
982000 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-4015
DR. NATHALIE KHOURY MD
Internal Medicine (Hepatology)
982000 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-6040
MEAGAN REIF-IMRIE MD
Internal Medicine (Gastroenterology)
982000 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-4015
SUHA JABAK MD
Internal Medicine
982000 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-6209

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 Faruq Pradhan's NPI number?

The NPI number for Faruq Pradhan is 1154738979. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Faruq Pradhan located?

Faruq Pradhan practices at 982000 Nebraska Medical Ctr, Omaha, NE 68198. The listed phone number is (402) 559-6209.

What is Faruq Pradhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Faruq Pradhan enrolled in Medicare?

Yes. Faruq 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.

What insurance does Faruq Pradhan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Faruq 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 Faruq Pradhan affiliated with any hospitals?

According to CMS data, Faruq Pradhan is affiliated with St Lukes Regional Medical Center, The Nebraska Medical Center, Methodist Fremont Health, Bellevue Medical Center, LLC and Kearney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Faruq Pradhan was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.