NPIMap

Individual provider Active NPI

Nripesh Pradhan, M.D.

  • Nephrology Physician
  • Evansville, IN
National Provider Identifier
1487974267
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01078589A Issued in IN
Practice address
421 Chestnut St
Evansville, IN 47713-1227
Phone
(812) 492-5202
Fax
(812) 450-8102
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 11

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.

Hospital & facility affiliations 14

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

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, Inc 228 clinicians

Practice addresses (Care Compare)

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (812) 464-9133

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 492-5202

Hospital & facility affiliations

  • DaVita Freedom Dialysis Dialysis facility, Evansville, IN, CCN 152690
  • DaVita Gardenside Dialysis Dialysis facility, Henderson, KY, CCN 182544
  • DaVita Bridgeview Dialysis Dialysis facility, Henderson, KY, CCN 182637
  • DaVita East Evansville Dialysis Dialysis facility, Evansville, IN, CCN 152569
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Wabash General Hospital 1 Hospital, Mount Carmel, IL, CCN 141327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170714001773 IN Practitioner - Nephrology 1557517364 Reassigns benefits to 1 organization
I20181002002303 KY Practitioner - Nephrology 1557517364 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078589AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc CurrentSince Aug 10, 2017 Accepting new patients
Deaconess Clinic Inc. Nephrology CurrentSince Aug 10, 2017 Accepting new patients
Deaconess Speciality Physicians, Inc Nephrology CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Clinic, Inc Current Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Clinic, Inc CurrentSince Jul 29, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Speciality Physicians, Inc Nephrology CurrentSince Sep 10, 2021 Accepting new patients
SPS Medical PC Nephrology Past Accepting new patients

Locations

533 W Columbia St
Evansville, IN 47710
Phone (812) 450-8350

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: npradhan192351@direct.deaconess.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01078589A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

421 Chestnut St
Evansville, IN 47713-1227

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6879

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
300004737MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487974267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6879",
            "fax_number": "812-450-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHESTNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131227",
            "telephone_number": "812-492-5202",
            "fax_number": "812-450-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "NRIPESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01078589A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004737",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.