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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: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Mar 31, 2021 (2 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.

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
Enumeration DateMarch 31, 2021
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 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
License✔ Licensed in OR · DO229467
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 ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajay Bahadur Pradhan Do 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 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 STEFFL PA-C
Physician Assistant (Medical)
1130 NW 22ND AVE STE 640
PORTLAND, OR 97210
Multnomah County (360) 609-9816
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.

When was this NPI record last updated?

The NPPES record for Ajay Pradhan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.