KUSUM M PRADHAN M.D.
NPI 1558776278
Pediatrics in Newburgh, IN

Active since June 23, 2014PECOS Enrolled
4209 GATEWAY BLVD, NEWBURGH, IN 47630(812) 858-5300 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 13, 2018, Nov 3, 2017 (2 updates tracked since 2017).

About Kusum M Pradhan M.d. NPPES

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

KUSUM M PRADHAN M.D. (NPI 1558776278) is an individual pediatrics provider in Newburgh, Indiana, licensed in Indiana (01078743A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558776278
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKUSUM M PRADHANCredential: M.D.
Location Address4209 GATEWAY BLVDNewburgh, IN 47630-8900
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815
Sole ProprietorNo
Enumeration DateJune 23, 2014
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
✔ NPI 1558776278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01078743A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4209 GATEWAY BLVD, Newburgh, IN 47630

Other Names 1

Former Name (1)Kusum Manandhar Pradhan

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 (PECOS)

Kusum M Pradhan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Internal Medicine (Interventional Cardiology)
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Physician Assistant
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Internal Medicine (Interventional Cardiology)
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630

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 Kusum Pradhan's NPI number?

The NPI number for Kusum Pradhan is 1558776278. It was assigned to this individual provider in the NPPES registry on June 23, 2014. The provider is also known as Kusum Manandhar Pradhan.

Where is Kusum Pradhan located?

Kusum Pradhan practices at 4209 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 858-5300.

What is Kusum Pradhan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kusum Pradhan enrolled in Medicare?

Yes. Kusum Pradhan is registered in the Medicare PECOS enrollment system.

What insurance does Kusum Pradhan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kusum 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.

When was this NPI record last updated?

The NPPES record for Kusum Pradhan was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.