DR. KEVIN K PANDYA M.D.
NPI 1972759298
Internal Medicine - Nephrology in Naperville, IL

Q: What is Kevin Pandya's NPI number?

The NPI number for Kevin Pandya is 1972759298. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Q: What is Kevin Pandya'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 Kevin Pandya was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 18, 2008PECOS Enrolled

120 SPALDING DR STE 410, NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, NAPERVILLE, IL 60540(630) 369-0780(630) 369-0886 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2025, Jan 25, 2023, May 27, 2022 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Kevin K Pandya M.d. NPPES

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

DR. KEVIN K PANDYA M.D. (NPI 1972759298) is an individual nephrology provider in Naperville, Illinois, licensed in Illinois (036114970) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972759298

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. KEVIN K PANDYACredential: M.D.

Location Address120 SPALDING DR STE 410, NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOISNaperville, IL 60540-6558

Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000

Phone(630) 369-0780

Fax(630) 369-0886

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2003

Enumeration DateAugust 18, 2008

Last NPPES UpdateAugust 4, 20255 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1972759298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IL · 036114970

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.

120 SPALDING DR STE 410, Naperville, IL 60540

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1302 Randall Rd Ste 205Geneva, IL 60134-4219 · Phone (630) 690-1220 · Fax (630) 208-1667

Location 22055 W Army Trail Rd Ste 110EAddison, IL 60101-1478 · Phone (630) 369-0780 · Fax (630) 369-0886

Other Identifiers 1

Medicaid036114970IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin K Pandya M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173676459

PECOS Enrollment IDI20090804000455

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 Kevin Pandya reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Health Ventures

Same address

Multi-Specialty

120 SPALDING DR, SUITE 303 SITE#25
Naperville, IL 60540

Reassigned Medicare billing, Illinois enrollment
561 clinicians in this Medicare group

NPI 1306896378 (630) 527-5576

Central Dupage Physician Group

6.3 mi

Family Medicine

5777 DEPARTMENT
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
1,664 clinicians in this Medicare group

NPI 1033149844 (630) 933-3300

Willow Springs Surgery Center, LLC

13 mi

Ambulatory Surgical

2055 W ARMY TRAIL RD STE 110N
Addison, IL 60101

Reassigned Medicare billing, Illinois enrollment
9 clinicians in this Medicare group

NPI 1467429233 (773) 284-9247

Nephrology Associates Of Northern Illinois, Ltd.

13 mi

Nephrology

120 W 22ND ST
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
161 clinicians in this Medicare group

NPI 1134319924 (630) 573-5000

Nani-Ihp LLC

13 mi

Nephrology

120 W 22ND ST
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
15 clinicians in this Medicare group

NPI 1417376385 (630) 573-5000

Endeavor Health Medical Group

32 mi

Allergy & Immunology

1000 CENTRAL ST
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1497701882 (847) 570-5235

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 20

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 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.

345 services146 patients

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.

302 services135 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

189 services120 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.

164 services33 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.

125 services50 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.

124 services62 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.

123 services109 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

80 services63 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

63 services49 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.

57 services30 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.

47 services42 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.

41 services30 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.

30 services30 patients

Injection, midazolam hydrochloride, per 1 mg J2250

Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).

27 services14 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

26 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services21 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

24 services19 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

18 services18 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

12 services12 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140231

Location801 South WashingtonNaperville, IL 60540 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NILAM PATEL MD

Internal Medicine (Nephrology)

120 SPALDING DR STE 410
NAPERVILLE, IL 60540

Dupage County (630) 369-0780

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 Kevin Pandya's NPI number?

The NPI number for Kevin Pandya is 1972759298. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Kevin Pandya located?

Kevin Pandya practices at 120 Spalding Dr Ste 410 Nephrology Associates Of Northern Illinois, Naperville, IL 60540. The listed phone number is (630) 369-0780.

What is Kevin Pandya's specialty?

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

Is Kevin Pandya enrolled in Medicare?

Yes. Kevin Pandya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Pandya reassigns Medicare benefits to 6 organizations: Edward Health Ventures (Naperville, IL), Central Dupage Physician Group (Carol Stream, IL), Willow Springs Surgery Center, LLC (Addison, IL), Nephrology Associates Of Northern Illinois, Ltd. (Oak Brook, IL), Nani-Ihp LLC (Oak Brook, IL) and 1 more organization, listed in the Medicare section above. Each 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 Kevin Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Pandya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kevin Pandya 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.

Is Kevin Pandya affiliated with any hospitals?

According to CMS data, Kevin Pandya is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Pandya was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.