DR. NISHIGANDHA PRADHAN M.D.
NPI 1356505317
Internal Medicine - Nephrology in Cleveland, OH
About Dr. Nishigandha Pradhan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NISHIGANDHA PRADHAN M.D. (NPI 1356505317) is an individual nephrology provider in Cleveland, Ohio, licensed in Ohio (35.122680) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Uh Cleveland Medical Center, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Nishigandha Pradhan 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.
Medicare Billing Reassignments
4Medicare enrollment records show Nishigandha Pradhan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Shaker Heights, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 30 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 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 7
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
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 Nishigandha Pradhan's NPI number?
The NPI number for Nishigandha Pradhan is 1356505317. It was assigned to this individual provider in the NPPES registry on July 17, 2008.
Where is Nishigandha Pradhan located?
Nishigandha Pradhan practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (713) 598-0742.
What is Nishigandha Pradhan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Nishigandha Pradhan enrolled in Medicare?
Yes. Nishigandha 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 Nishigandha Pradhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishigandha Pradhan reassigns Medicare benefits to 4 organizations: University Hospitals Medical Group Inc (Cleveland, OH), Partners In Nephrology Care Ltd. (Shaker Heights, OH), Stanford Health Care (Pleasanton, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). 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 Nishigandha Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nishigandha Pradhan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Nishigandha 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 Nishigandha Pradhan affiliated with any hospitals?
According to CMS data, Nishigandha Pradhan is affiliated with Uh Cleveland Medical Center.
When was this NPI record last updated?
The NPPES record for Nishigandha Pradhan was last updated on November 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Nishigandha Pradhan, M.D. · NPI 1356505317
Nephrology physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since July 17, 2008.
## Identity
- **NPI:** 1356505317 (Entity type: Individual)
- **Enumerated:** July 17, 2008
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 35.122680 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 11100 EUCLID AVE, Cleveland, OH 44106-1716
- **Phone:** (713) 598-0742
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH); Partners In Nephrology Care Ltd. (NPI 1467509893, Shaker Heights, OH); Stanford Health Care (NPI 1124561758, Pleasanton, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** November 27, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1356505317) · Data from the CMS NPPES public registry.