ANAY DILIP PRADHAN MD
NPI 1497967665
Internal Medicine - Cardiovascular Disease in Annville, PA

Q: What is Anay Pradhan's NPI number?

The NPI number for Anay Pradhan is 1497967665. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Anay Pradhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Anay Pradhan was last updated on April 14, 2021. 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.

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment

78.97/100

CMS Quality Rating

1251 E MAIN ST, SUITE 3, ANNVILLE, PA 17003(717) 731-0101(717) 731-8359 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2021, Jan 28, 2021, May 11, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Anay Dilip Pradhan Md NPPES

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

ANAY DILIP PRADHAN MD (NPI 1497967665) is an individual cardiovascular disease provider in Annville, Pennsylvania, licensed in Pennsylvania (MD444211) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497967665

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameANAY DILIP PRADHANCredential: MD

Location Address1251 E MAIN ST, SUITE 3Annville, PA 17003-1643

Mailing Address1251 E Main St Ste 3Annville, PA 17003-1643

Phone(717) 731-0101

Fax(717) 731-8359

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 3, 2007

Last NPPES UpdateApril 14, 20214 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1497967665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD444211

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT190199 (PA)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD444211 (PA)

1251 E MAIN ST, Annville, PA 17003

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Other Identifiers 1

Medicaid102962210PA

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

Anay Dilip 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 ID8921226622

PECOS Enrollment IDI20140821001052

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 15

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 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.

305 services222 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

135 services135 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

122 services113 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

114 services113 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.

49 services49 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

30 services30 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

23 services23 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

20 services20 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

20 services20 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

16 services15 patients

Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist 93456

This procedure involves placing a small tube into your right heart chambers and coronary artery. It helps in diagnosing heart conditions. A radiologist will review the images obtained for accurate results. It's a standard, safe process.

16 services16 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

15 services15 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

15 services14 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

12 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390138

Location501 East Main StWaynesboro, PA 17268 · Franklin County

Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390233

Location300 Highland AveHanover, PA 17331 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17003 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

78.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.63

Promoting Interoperability

100

Improvement Activities

Cost

63.26

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.

KRISHA PATEL

Physician Assistant

1251 E MAIN ST
ANNVILLE, PA 17003

Lebanon County (717) 867-4671

CHIAMAKA NNAMANI MD

Pediatrics

1251 E MAIN ST
ANNVILLE, PA 17003

Lebanon County (717) 867-4671

BRIAN SCOTT DELONG M.D.

Colon & Rectal Surgery

1251 E MAIN ST
ANNVILLE, PA 17003

Lebanon County (717) 988-0570

PINNACLE HEALTH MEDICAL SERVICES

Family Medicine

1251 E MAIN ST
ANNVILLE, PA 17003

Lebanon County (717) 867-4671

DR. MATTHEW GEORGE LOOSE DO

Family Medicine

1251 E MAIN ST
ANNVILLE, PA 17003

Lebanon County (717) 867-4671

PINNACLE HEALTH MEDICAL SERVICES

Family Medicine (Sports Medicine)

1251 E MAIN ST, SUITE 3
ANNVILLE, PA 17003

Lebanon County (717) 791-2620

DAVID M ZIELINSKI PA-C

Physician Assistant (Medical)

1251 E MAIN ST
ANNVILLE, PA 17003

Lebanon County (717) 867-4671

MS. MEGHAN LYNN FAUST PA-C

Physician Assistant (Medical)

1251 E MAIN ST
ANNVILLE, PA 17003

Lebanon County (717) 867-4671

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 Anay Pradhan's NPI number?

The NPI number for Anay Pradhan is 1497967665. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Anay Pradhan located?

Anay Pradhan practices at 1251 E Main St Suite 3, Annville, PA 17003. The listed phone number is (717) 731-0101.

What is Anay Pradhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Anay Pradhan enrolled in Medicare?

Yes. Anay 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.

Is Anay Pradhan affiliated with any hospitals?

According to CMS data, Anay Pradhan is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Wellspan Waynesboro Hospital, Wellspan Chambersburg Hospital and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Anay Pradhan was last updated on April 14, 2021. 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.