DR. PRADEEP REDDY THODIMA MD
NPI 1720376197
Internal Medicine - Nephrology in Bloomington, IN

Q: What is Pradeep Thodima's NPI number?

The NPI number for Pradeep Thodima is 1720376197. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Pradeep Thodima's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pradeep Thodima was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 19, 2011PECOS EnrolledAccepts Medicare Assignment

550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 676-4660(812) 676-4501 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2022, Mar 30, 2017, Aug 12, 2016 (3 updates tracked since 2016).

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About Dr. Pradeep Reddy Thodima Md NPPES

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

DR. PRADEEP REDDY THODIMA MD (NPI 1720376197) is an individual nephrology provider in Bloomington, Indiana, licensed in Indiana (01088443A) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1720376197

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. PRADEEP REDDY THODIMACredential: MD

Location Address550 S LANDMARK AVEBloomington, IN 47403-3239

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(812) 676-4660

Fax(812) 676-4501

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 19, 2011

Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration

NPPES CertifiedOctober 25, 2022

✔ NPI 1720376197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in IN · 01088443A✔ Licensed in GA · 077321

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01088443A (IN)

550 S LANDMARK AVE, Bloomington, IN 47403

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Secondary Practice Location 1

Location 11200 N Jefferson StAlbany, GA 31701-2057 · Phone (229) 888-3970 · Fax (229) 888-7771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pradeep Reddy Thodima Md 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 ID143511402

PECOS Enrollment IDI20221027001897

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 Reassignments

Medicare enrollment records show Pradeep Thodima reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Southern Indiana Physicians, LLC

6.7 mi

Multi-Specialty

2651 E DISCOVERY PKWY
Bloomington, IN 47408

Reassigned Medicare billing, Indiana enrollment
783 clinicians in this Medicare group

NPI 1013953983 (812) 353-5252

Kidney Hypertension Clinic, PC

386 mi

Nephrology

605 OLD NORCROSS RD
Lawrenceville, GA 30045

Reassigned Medicare billing, Georgia enrollment
8 clinicians in this Medicare group

NPI 1043327513 (770) 962-1231

Phoebe Gastroenterology Associates

537 mi

Clinic/Center

2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1659627131 (229) 312-0669

Thibodaux Regional Network Development Corporation

676 mi

Cardiovascular Disease

22080 LA HWY 20
Vacherie, LA 70090

Reassigned Medicare billing, Louisiana enrollment
179 clinicians in this Medicare group

NPI 1720853435 (985) 493-4993

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

Areas of Expertise CMS Part B claims 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

347 services138 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.

223 services171 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

219 services39 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.

162 services114 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

118 services66 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

95 services48 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

78 services71 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

48 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 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.

41 services37 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

29 services19 patients

Hemodialysis procedure requiring repeated evaluation 90937

Hemodialysis is a treatment that filters waste and excess fluids from your blood when your kidneys can't do this adequately. It's an ongoing process, requiring regular evaluations to monitor and adjust the treatment for optimal results.

26 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151306

Location642 W Hospital RdPaoli, IN 47454 · Orange County

Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151328

Location2900 W 16th StBedford, IN 47421 · Lawrence County

Emergency services

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190004

Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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.

RUANA CRONIN NP

Nurse Practitioner (Family)