Individual provider Active NPI

Ankur Pradhan, MD

  • Hospitalist Physician
  • Hackensack, NJ
National Provider Identifier
1043708407
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA12196000 Issued in NJ
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

Updated by the provider on Jun 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, OK9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20210721003370 TX Practitioner - HospitalistPractitioner - Family Practice 8426303827 Reassigns benefits to 10 organizations
I20230314000288 NH Practitioner - HospitalistPractitioner - Family Practice 8426303827
I20240606000685 NJ Practitioner - Family PracticePractitioner - Hospitalist 8426303827 Reassigns benefits to 1 organization
I20241104003257 LA Practitioner - Family Practice 8426303827 Reassigns benefits to 3 organizations
I20260312001817 FL Practitioner - Family Practice 8426303827 Reassigns benefits to 2 organizations
I20260313000843 IN Practitioner - Family Practice 8426303827 Reassigns benefits to 1 organization
I20260318003749 TN Practitioner - Family Practice 8426303827 Reassigns benefits to 1 organization
I20260507000079 WI Practitioner - Family Practice 8426303827 Reassigns benefits to 1 organization
I20260519004634 OK Practitioner - Family Practice 8426303827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
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
South Texas Physician Services, PLLCGroup PAC ID 5890145783, 57 clinicians
Northeast Louisiana Physicians LLCGroup PAC ID 2365885944, 44 clinicians
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

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 Hospital, Neptune, NJ, CCN 310073
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S3444TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2026 Accepting new patients
Northeast Louisiana Physicians, LLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 17, 2023 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2026 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Sacred Heart Health System Inc CurrentSince Feb 1, 2026 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Feb 19, 2026 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Jefferson Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Bexar Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Hospitalist CurrentSince May 30, 2024 Accepting new patients
Concord Hospital-Laconia Family Medicine CurrentSince Feb 24, 2023 Accepting new patients
North Texas Physician Services, PLLC Hospitalist CurrentSince Mar 17, 2024 Accepting new patients
St. Vincent Medical Group, Inc. Family Medicine CurrentSince Feb 19, 2026 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Feb 4, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2022 Accepting new patients
Gulf Coast Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Southwest Louisiana Physicians, LLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 30, 2024 Accepting new patients
South Texas Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Central Louisiana Physicians, LLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Blue Sky Telehealth, LLC PastSince Dec 21, 2025 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

  • Direct secure messaging: apradhan304904@christushealth.direct-ci.net
  • FHIR API: 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.

View all 31

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.