ANIL PRADHAN MD
NPI 1639122609
Pediatrics in Bradford, PA
About Anil Pradhan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANIL PRADHAN MD (NPI 1639122609) is an individual pediatrics provider in Bradford, Pennsylvania, licensed in Pennsylvania (MD081720E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anil Pradhan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anil Pradhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bradford, PA 16701
- Reassigned Medicare billing, Pennsylvania enrollment
- 15 clinicians in this Medicare group
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 16701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRADFORD, PA 16701
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 Anil Pradhan's NPI number?
The NPI number for Anil Pradhan is 1639122609. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Anil Pradhan located?
Anil Pradhan practices at 159 Interstate Pkwy, Bradford, PA 16701. The listed phone number is (716) 375-7500.
What is Anil Pradhan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Anil Pradhan enrolled in Medicare?
Yes. Anil Pradhan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anil Pradhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anil Pradhan reassigns Medicare benefits to Southern Tier Community Health Center Network, Inc. (Bradford, PA). 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 Anil Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anil Pradhan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anil 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 Anil Pradhan was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Anil Pradhan, MD · NPI 1639122609
Pediatrics physician in Bradford, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1639122609 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD081720E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 159 INTERSTATE PKWY, Bradford, PA 16701-1013
- **Phone:** (716) 375-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Tier Community Health Center Network, Inc. (NPI 1962399394, Bradford, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2026
- **Other identifiers:** Medicaid 0007774520003 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639122609) · Data from the CMS NPPES public registry.