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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANYA PITRODA M.D.
NPI 1245491034
Hospitalist in Naperville, IL

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
801 S WASHINGTON ST, 3RD FLOOR, NAPERVILLE, IL 60540(630) 527-5359(630) 527-5526 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tanya Pitroda M.d. NPPES

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

TANYA PITRODA M.D. (NPI 1245491034) is an individual hospitalist provider in Naperville, Illinois, licensed in Illinois (036121301) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1245491034
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameTANYA PITRODACredential: M.D.
Location Address801 S WASHINGTON ST, 3RD FLOORNaperville, IL 60540-7430
Mailing Address801 S Washington St, 3rd FloorNaperville, IL 60540-7430 · (630) 527-5359 · Fax (630) 527-5526
Phone(630) 527-5359
Fax(630) 527-5526
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 24, 2008
Last NPPES UpdateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1245491034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036121301
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036121301 (IL)
801 S WASHINGTON ST, Naperville, IL 60540
Open in Google Maps ↗

Other Identifiers 2

Medicaid036121301 1IL
Other2220936IL · Bcbs

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

Tanya Pitroda M.d. 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 ID5890860795
PECOS Enrollment IDI20080812000242
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 4

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 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.
726 services253 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
205 services195 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.
157 services155 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$14.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$64.29 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 20

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

DR. HAFEZ M. SAMI M.D.
Pain Medicine (Interventional Pain Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 348-3300
MICHAEL J. HARTMANN MD
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
SEEMA ISHAQ JEELANI D.O.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
CORTNEY COLE MD
Family Medicine (Hospice and Palliative Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
EDWARD HOSPITAL
General Acute Care Hospital
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 655-0450
DR. HODA A. EL- ASMAR MD
Internal Medicine (Infectious Disease)
801 S WASHINGTON ST, EDWARD HOSPITAL, ADMINISTRATION, VPMA OFFICE
NAPERVILLE, IL 60540
Dupage County (630) 527-5647
AMAAR MASOOD MALIK DO
Radiology (Diagnostic Radiology)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3200
DR. SANGITA RANGALA M.D.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3288

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 Tanya Pitroda's NPI number?

The NPI number for Tanya Pitroda is 1245491034. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Tanya Pitroda located?

Tanya Pitroda practices at 801 S Washington St 3rd Floor, Naperville, IL 60540. The listed phone number is (630) 527-5359.

What is Tanya Pitroda's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tanya Pitroda enrolled in Medicare?

Yes. Tanya Pitroda 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 Tanya Pitroda affiliated with any hospitals?

According to CMS data, Tanya Pitroda is affiliated with Swedish Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Tanya Pitroda was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.