Active NPI
Ankur Pradhan, MD
- Hospitalist Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA12196000
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (732) 783-4746
- NPI assigned
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S3444 | TX | |
| Hospitalist Physician | 208M00000X | S3444 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10064801 | TX | |
| Hospitalist Physician | 208M00000X | 25MA12196000 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877
Other practice location 1
605 S Conroe Medical Dr
Conroe, TX 77304
Phone (936) 539-4004
Other practice location 2
18951 N Memorial Dr Ste 103W
Humble, TX 77338-4217
Phone (281) 540-8409
Other practice location 3
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NH, NJ, LA, FL, IN, TN, WI, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Arkansas College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461
1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500
2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-1288
301 Seton Pkwy
Round Rock, TX 78665-8003
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122
51 N Ford Rd
Zionsville, IN 46077-1233
Phone (317) 973-3333
5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441
Hospital & facility affiliations
- Jersey Shore University Medical Center
- Hackensack University Medical Center
- JFK University Medical Center
- Christus Jasper Memorial Hospital
- Christus Shreveport-Bossier Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3444 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Northeast Louisiana Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Texas Health Physicians Group | Family Medicine | Current | Accepting new patients |
| Jefferson Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Bexar Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Memorial Hermann Medical Group | Family Medicine | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Hospitalist | Current | Accepting new patients |
| Concord Hospital-Laconia | Family Medicine | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| St. Vincent Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Saint Thomas Medical Partners | Family Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Gulf Coast Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Southwest Louisiana Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| South Texas Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Central Louisiana Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Blue Sky Telehealth, LLC | Past | Accepting new patients |
Locations (25 of 37)
4205 Belfort Rd
Ste 3075
Jacksonville, FL 32216
Phone (904) 296-5785
2156 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 416-2433
51 N Ford Rd
Zionsville, IN 46077
Phone (317) 973-3333
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000
200 Corporate Blvd
Lafayette, LA 70508
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
300 20th Ave N
Ste G8
Nashville, TN 37203
Phone (615) 284-7533
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
Interoperability endpoints
- apradhan304904@christushealth.direct-ci.net
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 31
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Hospitalist
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1417738675
Hospitalist
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1922889187
Hospitalist
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1598546764
Hospitalist
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
Hospitalist
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1407637671
Hospitalist
-
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1598546772
Hospitalist
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
Family Medicine
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1730960998
Hospitalist
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Rural Acute Care Hospital
- Jasper, TX
- NPI 1598749707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1043708407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015792",
"telephone_number": "732-807-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "732-783-4746"
}
],
"practiceLocations": [
{
"address_1": "605 S Conroe Medical Dr",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "77304",
"country_code": "US",
"telephone_number": "936-539-4004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18951 N Memorial Dr Ste 103W",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773384217",
"country_code": "US",
"telephone_number": "281-540-8409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-7264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRADHAN",
"first_name": "ANKUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-01",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S3444",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "S3444",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10064801",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA12196000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.