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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AJAY BAHADUR PRADHAN DO
NPI 1619555612
Internal Medicine - Nephrology in Portland, OR

Active since March 31, 2021PECOS Enrolled
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210(503) 229-7976(503) 274-4867 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Jul 13, 2026, Mar 31, 2021 (3 updates tracked since 2021).

About Ajay Bahadur Pradhan Do NPPES

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

AJAY BAHADUR PRADHAN DO (NPI 1619555612) is an individual nephrology provider in Portland, Oregon, licensed in Oregon (DO229467) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of William Carey University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1619555612
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameAJAY BAHADUR PRADHANCredential: DO
Location Address1130 NW 22ND AVE STE 640Portland, OR 97210-5488
Mailing AddressPo Box 3068Portland, OR 97208-3068 · (503) 229-7976 · Fax (503) 274-4867
Phone(503) 229-7976
Fax(503) 274-4867
Sole ProprietorNo
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1619555612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in OR · DO229467✔ Licensed in WA · DO.OP.70037760
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.
1130 NW 22ND AVE STE 640, Portland, OR 97210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajay Bahadur Pradhan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850791591
PECOS Enrollment IDI20260728002986
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 Reassignment

Medicare enrollment records show Ajay Pradhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Renal Clinic, Inc.
Same address
Nephrology
1130 NW 22ND AVE STE 640
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 31 clinicians in this Medicare group
NPI 1528036662 (503) 229-7976

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE M STEED MD
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
CHELSEA ELIZABETH CLARK FNP
Nurse Practitioner (Family)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
LUCAS K. STEFFL PA-C
Physician Assistant (Medical)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
MARK NGUYEN MD
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
NORTHWEST RENAL CLINIC, INC.
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
ALEXANDER S HAWKINS MD
Internal Medicine (Nephrology)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976

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 Ajay Pradhan's NPI number?

The NPI number for Ajay Pradhan is 1619555612. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Ajay Pradhan located?

Ajay Pradhan practices at 1130 NW 22nd Ave Ste 640, Portland, OR 97210. The listed phone number is (503) 229-7976.

What is Ajay Pradhan's specialty?

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

Is Ajay Pradhan enrolled in Medicare?

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

Which organization bills Medicare for Ajay Pradhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Pradhan reassigns Medicare benefits to Northwest Renal Clinic, Inc. (Portland, OR). The 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 Ajay Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Pradhan accept?

Health plans from Providence Health Plan list Ajay 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 Ajay Pradhan was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.