SUSHMA RAJDEEP PRADHAN MD
NPI 1922185545
Pediatrics in Buffalo, MN

Active since November 01, 2006PECOS Enrolled
83.53/100
CMS Quality Rating
303 CATLIN ST, BUFFALO, MN 55313(763) 682-5225 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sushma Rajdeep Pradhan Md NPPES

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

SUSHMA RAJDEEP PRADHAN MD (NPI 1922185545) is an individual pediatrics provider in Buffalo, Minnesota, licensed in Minnesota (60313) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922185545
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSHMA RAJDEEP PRADHANCredential: MD
Location Address303 CATLIN STBuffalo, MN 55313-1947
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1922185545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 60313
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
303 CATLIN ST, Buffalo, MN 55313

Other Names 1

Former Name (1)Sushma Ramesh Rao M.d

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sushma Rajdeep Pradhan Md 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 55313 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Audiologist
303 CATLIN ST
BUFFALO, MN 55313
Non-Pharmacy Dispensing Site
303 CATLIN ST
BUFFALO, MN 55313
Occupational Therapist
303 CATLIN ST
BUFFALO, MN 55313
Nurse Practitioner (Family)
303 CATLIN ST
BUFFALO, MN 55313
Physician Assistant
303 CATLIN ST
BUFFALO, MN 55313
Specialist/Technologist (Athletic Trainer)
303 CATLIN ST
BUFFALO, MN 55313
Anesthesiology
303 CATLIN ST
BUFFALO, MN 55313
Physician Assistant
303 CATLIN ST
BUFFALO, MN 55313

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 Sushma Pradhan's NPI number?

The NPI number for Sushma Pradhan is 1922185545. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Sushma Ramesh Rao M.D.

Where is Sushma Pradhan located?

Sushma Pradhan practices at 303 Catlin St, Buffalo, MN 55313. The listed phone number is (763) 682-5225.

What is Sushma Pradhan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sushma Pradhan enrolled in Medicare?

Yes. Sushma Pradhan is registered in the Medicare PECOS enrollment system.

What insurance does Sushma Pradhan accept?

Health plans from HealthPartners and Medica list Sushma 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 Sushma Pradhan was last updated on November 10, 2020. 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.