DR. SEAN PRAVIN PITRODA M.D.
NPI 1619264538
Radiology - Radiation Oncology in Chicago, IL

Q: What is Sean Pitroda's NPI number?

The NPI number for Sean Pitroda is 1619264538. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Q: What is Sean Pitroda's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Sean Pitroda was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 29, 2011PECOS EnrolledAccepts Medicare Assignment

97.71/100

CMS Quality Rating

5758 S MARYLAND AVE, MC 9006, CHICAGO, IL 60637(773) 702-6870 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Sean Pravin Pitroda M.d. NPPES

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

DR. SEAN PRAVIN PITRODA M.D. (NPI 1619264538) is an individual radiation oncology provider in Chicago, Illinois, licensed in Illinois (1619264538) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2011).

NPPES Registry Identity

NPI1619264538

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. SEAN PRAVIN PITRODACredential: M.D.

Location Address5758 S MARYLAND AVE, MC 9006Chicago, IL 60637-1426

Mailing Address5758 S Maryland Ave, Mc 9006Chicago, IL 60637-1426 · (773) 702-6870

Phone(773) 702-6870

Sole ProprietorYes

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2011

Enumeration DateJune 29, 2011

Last NPPES UpdateJune 2, 2016

✔ NPI 1619264538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in IL · 1619264538

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

5758 S MARYLAND AVE, Chicago, IL 60637

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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. Sean Pravin Pitroda 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 ID5193028165

PECOS Enrollment IDI20160808001160, I20240430001019

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 19

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.

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

357 services67 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

185 services24 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

178 services49 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

111 services17 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

70 services66 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.

66 services52 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

62 services58 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

61 services55 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

61 services55 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.

57 services41 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

55 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

51 services51 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

34 services33 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.

20 services19 patients

Obtaining respiratory data needed to develop the optimal radiation treatment 77293

Obtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.

17 services15 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

17 services16 patients

Management of complete single session course of cranial lesion surgery using radiation 77432

This procedure involves using radiation to treat a cranial lesion in one session. A precise dose of radiation targets the lesion, destroying abnormal cells while sparing healthy tissue. It's a non-invasive method, meaning no surgical incision is needed.

16 services16 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

13 services12 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

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

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.

97.71/100

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

Scored through an Alternative Payment Model

Quality

75.43

Promoting Interoperability

100

Improvement Activities

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.

MS. ANCA DANIELA BULGARIU NURSE PRACTITIONER

Nurse Practitioner (Adult Health)

5758 S MARYLAND AVE, MC 9028
CHICAGO, IL 60637

Cook County (773) 834-8062

MS. CHRISTINE MARGARET KURCZABA PA-C, MMSC

Physician Assistant (Medical)

5758 S MARYLAND AVE, UNIVERSITY OF CHICAGO MEDICAL CENTER
CHICAGO, IL 60637

Cook County (773) 562-5520

DR. ITAY SAGY M.D

Urology

5758 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 702-1860

ALEXANDRA LYNNE SURMAN PA

Physician Assistant

5758 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 702-1000

SPRING HOLLAND

Specialist (Research Study)

5758 S MARYLAND AVE, DCAM 5824
CHICAGO, IL 60637

Cook County (773) 834-4053

DANA LYNN HAYES MS, CCC-SLP

Speech-Language Pathologist

5758 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 702-0042

JESSICA CLAIR SCHULTZ RD, LDN

Dietitian, Registered

5758 S MARYLAND AVE
CHICAGO, IL 60637

Cook County (773) 795-5949

DR. AMANDA L DUGAL PHARMD

Pharmacist

5758 S MARYLAND AVE, DCAM 1005
CHICAGO, IL 60637

Cook County (773) 702-3519

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 Sean Pitroda's NPI number?

The NPI number for Sean Pitroda is 1619264538. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Sean Pitroda located?

Sean Pitroda practices at 5758 S Maryland Ave Mc 9006, Chicago, IL 60637. The listed phone number is (773) 702-6870.

What is Sean Pitroda's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Sean Pitroda enrolled in Medicare?

Yes. Sean Pitroda 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 Sean Pitroda affiliated with any hospitals?

According to CMS data, Sean Pitroda is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Pitroda was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.