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LOPA K PANDYA M.D.
NPI 1467715938
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Chicago, IL

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
1801 W TAYLOR ST # MC650, CHICAGO, IL 60612(312) 413-7500 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2019, Jun 23, 2016 (2 updates tracked since 2016).

About Lopa K Pandya M.d. NPPES

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

LOPA K PANDYA M.D. (NPI 1467715938) is an individual urogynecology and reconstructive pelvic surgery provider in Chicago, Illinois, licensed in Illinois (036137045) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1467715938
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameLOPA K PANDYACredential: M.D.
Location Address1801 W TAYLOR ST # MC650Chicago, IL 60612-4795
Mailing Address820 S Wood St # Mc808Chicago, IL 60612-4325
Phone(312) 413-7500
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration
✔ NPI 1467715938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in IL · 036137045
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 125061785 (IL)
1801 W TAYLOR ST # MC650, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Location 1

Location 15841 S Maryland Ave, MC 2050Chicago, IL 60637-1447 · Phone (773) 834-0598

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

Lopa K Pandya 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 ID3173826401
PECOS Enrollment IDI20190806002622
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lopa Pandya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois
Same address
Radiation Oncology
1801 W TAYLOR ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1154541936 (Illinois)
  • 2,127 clinicians in this Medicare group
NPI 1669691788 (312) 413-7501
Cook County
0.3 mi
Family Medicine
605 S WOLCOTT AVE, SUITE 605
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1912063439 (312) 864-4649
Mount Sinai Community Foundation
1.0 mi
Psychiatric Hospital
2040 W WASHINGTON BLVD
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1609072313 (312) 850-5836

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 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.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES 7

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

STEPHANIE CHEN M.D.
Obstetrics & Gynecology
1801 W TAYLOR ST # MC650
CHICAGO, IL 60612
Cook County (312) 413-7500
AYESHA HASAN M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1801 W TAYLOR ST # MC650
CHICAGO, IL 60612
Cook County (312) 413-7500
NATHAN RYAN KING MD
Obstetrics & Gynecology
1801 W TAYLOR ST # MC650
CHICAGO, IL 60612
Cook County (312) 413-7500
MEREDITH MARIE PAVICIC M.D.
Obstetrics & Gynecology
1801 W TAYLOR ST # MC650
CHICAGO, IL 60612
Cook County (312) 413-7500
STEPHEN R LOCHER M.D.
Obstetrics & Gynecology
1801 W TAYLOR ST # MC650
CHICAGO, IL 60612
Cook County (312) 413-7500
CATHERINE NICOLE WHEATLEY M.D.
Obstetrics & Gynecology
1801 W TAYLOR ST # MC650
CHICAGO, IL 60612
Cook County (312) 413-7500
MRS. LAUREN LAROCCA NP
Nurse Practitioner
1801 W TAYLOR ST # MC650
CHICAGO, IL 60612
Cook County (312) 413-7500

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 Lopa Pandya's NPI number?

The NPI number for Lopa Pandya is 1467715938. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Lopa Pandya located?

Lopa Pandya practices at 1801 W Taylor St # Mc650, Chicago, IL 60612. The listed phone number is (312) 413-7500.

What is Lopa Pandya's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Lopa Pandya enrolled in Medicare?

Yes. Lopa Pandya 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 Lopa Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lopa Pandya reassigns Medicare benefits to 3 organizations: Board Of Trustees Of The University Of Illinois (Chicago, IL), Cook County (Chicago, IL) and Mount Sinai Community Foundation (Chicago, IL). 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 Lopa Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lopa Pandya affiliated with any hospitals?

According to CMS data, Lopa Pandya is affiliated with Mt Sinai Hospital Medical Center and University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Lopa Pandya was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.