DR. DINESH PRADHAN MD
NPI 1386151314
Pathology - Anatomic Pathology & Clinical Pathology in Omaha, NE

Active since December 28, 2017PECOS EnrolledAccepts Medicare Assignment
983135 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 559-7672(402) 559-6018 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 7, 2023, Sep 14, 2022, Apr 12, 2022 and 2 more (5 updates tracked since 2017).

About Dr. Dinesh Pradhan Md NPPES

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

DR. DINESH PRADHAN MD (NPI 1386151314) is an individual anatomic pathology & clinical pathology provider in Omaha, Nebraska, licensed in Nebraska (35809) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Montgomery County Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1386151314
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. DINESH PRADHANCredential: MD
Location Address983135 NEBRASKA MEDICAL CTROmaha, NE 68198-6898
Mailing Address983135 Nebraska Medical CtrOmaha, NE 68198-3135 · (402) 559-7816 · Fax (402) 559-6018
Fax(402) 559-6018
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 28, 2017
Last NPPES UpdateNovember 7, 20235 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1386151314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in NE · 35809 Licensed in PA · MT206827
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
983135 NEBRASKA MEDICAL CTR, Omaha, NE 68198

Accepted 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

Dr. Dinesh 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 ID7315333549
PECOS Enrollment IDI20230830002980
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 16

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
3,025 services2,119 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,196 services305 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
459 services375 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
257 services188 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
211 services98 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
169 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161363
Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County
Emergency services

Myrtue Medical Center

Critical Access Hospitals · Harlan, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161374
Location1213 Garfield AvenueHarlan, IA 51537 · Shelby 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

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

Boone County Health Center

Critical Access Hospitals · Albion, NE
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number281334
LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
983135 NEBRASKA MEDICAL CTR
OMAHA, NE 68198

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 Dinesh Pradhan's NPI number?

The NPI number for Dinesh Pradhan is 1386151314. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Dinesh Pradhan located?

Dinesh Pradhan practices at 983135 Nebraska Medical Ctr, Omaha, NE 68198. The listed phone number is (402) 559-7672.

What is Dinesh Pradhan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Dinesh Pradhan enrolled in Medicare?

Yes. Dinesh 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 Dinesh Pradhan accept?

Health plans from Medica and Oscar Insurance Company list Dinesh 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 Dinesh Pradhan affiliated with any hospitals?

According to CMS data, Dinesh Pradhan is affiliated with Montgomery County Memorial Hospital, Myrtue Medical Center, The Nebraska Medical Center, Bellevue Medical Center, LLC and Boone County Health Center.

When was this NPI record last updated?

The NPPES record for Dinesh Pradhan was last updated on November 7, 2023. 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.