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KUMUDA R PRADHAN MD PA
NPI 1902100217
Surgery in El Paso, TX

Active since December 29, 2010
1700 N OREGON ST, 620, EL PASO, TX 79902(915) 779-1716 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kumuda R Pradhan Md Pa NPPES

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

KUMUDA R PRADHAN MD PA (NPI 1902100217) is a healthcare organization registered as a surgery in El Paso, Texas and active in the NPI registry since December 2010. The organization lists Kumuda Pradhan, President, as its authorized official.

NPPES Registry Identity

NPI1902100217
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKUMUDA R PRADHAN MD PA
Location Address1700 N OREGON ST, 620El Paso, TX 79902-3584
Mailing Address5959 Gateway Blvd W, 120El Paso, TX 79925-3331 · (915) 774-5557 · Fax (915) 771-6496
Phone(915) 779-1716
Organization SubpartNo
Authorized OfficialKumuda PradhanPresident · (915) 779-1716
Enumeration DateDecember 29, 2010
✔ NPI 1902100217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · N5950
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1700 N OREGON ST, El Paso, TX 79902
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kumuda R Pradhan Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kumuda R Pradhan MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kumuda Pradhan, MD
General Surgery
NPI 1427053669
1836 SOUTH AVE
La Crosse, WI 54601
(608) 782-7300
✔ PECOS✔ Accepts Medicare1,173 mi

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

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 Kumuda R Pradhan MD PA's NPI number?

The NPI number for Kumuda R Pradhan MD PA is 1902100217. It was assigned to this organization in the NPPES registry on December 29, 2010.

Where is Kumuda R Pradhan MD PA located?

Kumuda R Pradhan MD PA is located at 1700 N Oregon St 620, El Paso, TX 79902. The listed phone number is (915) 779-1716.

What is Kumuda R Pradhan MD PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kumuda R Pradhan MD PA enrolled in Medicare?

Yes. Kumuda R Pradhan MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kumuda R Pradhan MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Kumuda R Pradhan MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kumuda R Pradhan MD PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kumuda R Pradhan MD PA 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 Kumuda R Pradhan MD PA was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.