Subarna P Pradhan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036056560 Issued in IL

Practice address

9722 Grand Ave
Franklin Park, IL 60131-3357

Phone

(847) 455-0110

Fax

(847) 455-0199

NPI assigned

Apr 9, 2007

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arvind Patel M.D.S.C.

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1174549943
  Medicare reassignment NPD
• Subarna P Pradhan M D S C

  • Internal Medicine Physician
  • Franklin Park, IL
  • NPI 1700198249
  NPD
• Narendra D Dabhade MD LTD

  • Internal Medicine Physician
  • Franklin Park, IL
  • NPI 1659694396
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1538282256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601313357",
            "telephone_number": "847-455-0110",
            "fax_number": "847-455-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9722 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601313357",
            "telephone_number": "847-455-0110",
            "fax_number": "847-455-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "SUBARNA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036056560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Philip
• PJCC Dental PC
• Play 2 Learn Therapy, Inc.
• Makisha Pollard, BS, MBA
• Katarzyna Pracka, LPC, AMFT
• Premise Health of Illinois Medical PC (Sloan - Franklin Park)
• Professional Diagnostic Services,Inc
• Professional Diagnostic Services,Inc
• Anthony A Provenzano, PHARM D
• Virginie Zhang Qian, PA-C

• Internal Medicine Physician in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.