DR. AAYUSH KIRAN PRADHAN MD
NPI 1508488636
Hospitalist in Boardman, OH

Q: What is Aayush Pradhan's NPI number?

The NPI number for Aayush Pradhan is 1508488636. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Q: What is Aayush Pradhan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Aayush 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.

Active since May 12, 2020PECOS EnrolledAccepts Medicare Assignment

8401 MARKET ST, BOARDMAN, OH 44512(330) 729-4298(330) 729-1897 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2023, Aug 16, 2023, Sep 25, 2020 and 2 more (5 updates tracked since 2020).

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About Dr. Aayush Kiran Pradhan Md NPPES

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

DR. AAYUSH KIRAN PRADHAN MD (NPI 1508488636) is an individual hospitalist provider in Boardman, Ohio, licensed in Ohio (35.147263) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508488636

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. AAYUSH KIRAN PRADHANCredential: MD

Location Address8401 MARKET STBoardman, OH 44512-6725

Mailing Address8401 Market StBoardman, OH 44512-6725 · (330) 729-4298 · Fax (330) 729-1897

Phone(330) 729-4298

Fax(330) 729-1897

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 12, 2020

Last NPPES UpdateNovember 7, 20235 updates tracked since enumeration

NPPES CertifiedNovember 7, 2023

✔ NPI 1508488636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OH · 35.147263

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.147263 (OH)

8401 MARKET ST, Boardman, OH 44512

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Secondary Practice Locations 2

Location 11044 Belmont AveYoungstown, OH 44504-1006 · Phone (330) 480-7320 · Fax (330) 729-1591

Location 2667 Eastland Ave SEWarren, OH 44484-4503 · Phone (330) 841-2378 · Fax (330) 729-1591

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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. Aayush Kiran 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 ID1153778733

PECOS Enrollment IDI20231103003381

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 5

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.

315 services120 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

86 services85 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

49 services33 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.

41 services23 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.

15 services11 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MRS. JESSICA HARRIMAN AUSTIN DO

Internal Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4298

DR. JEROME CHELLIAH MD, MPH

Obstetrics & Gynecology

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4350

SHREY PATEL DO

Emergency Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-7960

BENJAMIN MINER

Emergency Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-8757

DR. JEANINE AWAD-SPIRTOS M.D.

Emergency Medicine

8401 MARKET ST
YOUNGSTOWN, OH 44512

Mahoning County (330) 729-2929

ANTONIUS SUSATYO HADI MD

Obstetrics & Gynecology

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4350

ROBERT KOLLER DO

Family Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4298

MISS AMBER HUNKUS APRN

Nurse Practitioner (Family)

8401 MARKET ST
YOUNGSTOWN, OH 44512

Mahoning County (330) 729-4298

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 Aayush Pradhan's NPI number?

The NPI number for Aayush Pradhan is 1508488636. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Aayush Pradhan located?

Aayush Pradhan practices at 8401 Market St, Boardman, OH 44512. The listed phone number is (330) 729-4298.

What is Aayush Pradhan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Aayush Pradhan enrolled in Medicare?

Yes. Aayush 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 Aayush Pradhan accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Aayush 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 Aayush Pradhan affiliated with any hospitals?

According to CMS data, Aayush Pradhan is affiliated with St Elizabeth Youngstown Hospital.

When was this NPI record last updated?

The NPPES record for Aayush 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.