NRIPESH PRADHAN M.D.
NPI 1487974267
Internal Medicine - Nephrology in Evansville, IN

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
421 CHESTNUT ST, EVANSVILLE, IN 47713(812) 492-5202(812) 450-8102 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

About Nripesh Pradhan M.d. NPPES

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

NRIPESH PRADHAN M.D. (NPI 1487974267) is an individual nephrology provider in Evansville, Indiana, licensed in Indiana (01078589A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1487974267
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNRIPESH PRADHANCredential: M.D.
Location Address421 CHESTNUT STEvansville, IN 47713-1227
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6879 · Fax (812) 450-8102
Fax(812) 450-8102
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 3, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1487974267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01078589A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
421 CHESTNUT ST, Evansville, IN 47713

Other Identifiers 1

Medicaid300004737IN

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

Nripesh 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.

PECOS PAC ID1557517364
PECOS Enrollment IDI20170714001773, I20181002002303
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

2

Medicare enrollment records show Nripesh Pradhan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
120 SE 4TH ST
Evansville, IN 47708
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • Medicare enrollment name: Deaconess Specialty Physicians, Inc
  • Also billed through NPI 1386319440 (Kentucky)
  • 264 clinicians in this Medicare group
Infectious Disease
520 MARY ST STE 230
Evansville, IN 47710
  • Reassigned Medicare billing, Kentucky enrollment
  • 174 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 12

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.
1,441 services426 patients
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.
458 services231 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.
401 services314 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.
230 services210 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
159 services81 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.
107 services93 patients

Hospital Affiliations CMS Care Compare 5

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47713 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Internal Medicine (Hematology & Oncology)
421 CHESTNUT ST
EVANSVILLE, IN 47713
Dietitian, Registered
421 CHESTNUT ST
EVANSVILLE, IN 47713
Nurse Practitioner (Acute Care)
421 CHESTNUT ST
EVANSVILLE, IN 47713
Urology
421 CHESTNUT ST
EVANSVILLE, IN 47713
Registered Nurse (Diabetes Educator)
421 CHESTNUT ST
EVANSVILLE, IN 47713
Nurse Practitioner
421 CHESTNUT ST
EVANSVILLE, IN 47713
Optometrist
421 CHESTNUT ST
EVANSVILLE, IN 47713
Internal Medicine (Cardiovascular Disease)
421 CHESTNUT ST
EVANSVILLE, IN 47713

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 Nripesh Pradhan's NPI number?

The NPI number for Nripesh Pradhan is 1487974267. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Nripesh Pradhan located?

Nripesh Pradhan practices at 421 Chestnut St, Evansville, IN 47713. The listed phone number is (812) 492-5202.

What is Nripesh Pradhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nripesh Pradhan enrolled in Medicare?

Yes. Nripesh 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 Nripesh Pradhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nripesh Pradhan reassigns Medicare benefits to 2 organizations: Deaconess Speciality Physicians, Inc (Evansville, IN) and Deaconess Clinic, Inc (Evansville, IN). 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 Nripesh Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nripesh Pradhan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nripesh 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 Nripesh Pradhan affiliated with any hospitals?

According to CMS data, Nripesh Pradhan is affiliated with Ferrell Hospital Community Foundations, Wabash General Hospital 1, Deaconess Hospital Inc, Gibson General Hospital and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Nripesh Pradhan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.