SUPRIYA PRADHAN MD
NPI 1740702984
Internal Medicine in Tempe, AZ

Q: What is Supriya Pradhan's NPI number?

The NPI number for Supriya Pradhan is 1740702984. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Q: What is Supriya Pradhan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Supriya Pradhan was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 10, 2017PECOS EnrolledAccepts Medicare Assignment

1840 E BROADWAY RD, TEMPE, AZ 85282(602) 243-7277(480) 927-1092 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2021, Jul 10, 2017 (2 updates tracked since 2017).

On this page

About Supriya Pradhan Md NPPES

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

SUPRIYA PRADHAN MD (NPI 1740702984) is an individual internal medicine provider in Tempe, Arizona, licensed in Arizona (62859) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740702984

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUPRIYA PRADHANCredential: MD

Location Address1840 E BROADWAY RDTempe, AZ 85282-1614

Mailing Address3003 N Central Ave Ste 1600Phoenix, AZ 85012-2908 · (602) 323-3492

Phone(602) 243-7277

Fax(480) 927-1092

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 10, 2017

Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2021

✔ NPI 1740702984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 62859

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1840 E BROADWAY RD, Tempe, AZ 85282

Open in Google Maps ↗

Other Identifiers 1

Medicaid095780AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Supriya Pradhan 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 ID143626507

PECOS Enrollment IDI20210909002872

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 Supriya Pradhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Park Health Center

5.5 mi

Federally Qualified Health Center (FQHC)

1300 N 48TH ST
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
166 clinicians in this Medicare group

NPI 1912661323 (602) 243-7277

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 85282 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

SUPRIYA BHANDARI M.D.

Internal Medicine