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

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: August 30, 2026.

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

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
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

Secondary Practice Locations 2

Location 12055 W Army Trail Rd Ste 110EAddison, IL 60101-1478 · Phone (630) 369-0780 · Fax (630) 369-0886
Location 2302 Randall Rd Ste 205Geneva, IL 60134-4219 · Phone (630) 690-1220 · Fax (630) 208-1667

Other Identifiers 1

Medicaid036114970IL

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)

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.

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

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.

Internal Medicine (Nephrology)
120 SPALDING DR STE 410
NAPERVILLE, IL 60540

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.

What insurance does Kevin Pandya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State 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 13 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.