Sanjeev Kumar Pradhan, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036-120607 Issued in IL

Practice address

20060 Governors Dr Ste 100
Olympia Fields, IL 60461-1029

Phone

(708) 821-7794

NPI assigned

May 1, 2008

Last updated

Sep 4, 2024By 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 2

Addresses

Other identifiers 3

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Medical College of Wisconsin, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCFDD/Endpoint/BFCFDD

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.

• Vein & Vascular Experts, PLLC

  • Vascular Surgery Physician
  • Olympia Fields, IL
  • NPI 1003500703
  Medicare reassignment NPD Authorized official
• Illinois Uvc Medical PLLC

  dba United Vein & Vascular Centers

  • Vascular Surgery Physician
  • Oak Lawn, IL
  • NPI 1689224719
  Medicare reassignment NPD
• Vascular Specialists LLC

  • Vascular Surgery Physician
  • Tinley Park, IL
  • NPI 1992126668
  Medicare reassignment NPD
• Lakeshore Womens Health Specialists SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1528094869
  NPD (past)
• Vascular Specialists of Indiana LLC

  • Vascular Surgery Physician
  • Munster, IN
  • NPI 1841915527
  NPD (past)

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

• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1750557658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15538 ROYAL GLEN CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674577",
            "telephone_number": "708-821-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR STE 100",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611029",
            "telephone_number": "708-821-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "SANJEEV",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-120607",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036-120607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01618941",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200913040B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120607",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dimitri Plikas, DO
• Nellie N Plummer, O.D.
• Gary Plundo, D.O.
• Podiatric Management Systems LLC (Professional Foot and Ankle)
• Kiana Chanell Porter
• Prairie State Pulmonary & Sleep Consultants, LLC
• Prime Healthcare Home Health Care Illinois, LLC
• Samuel Adam Prissel, DO
• Progressive Dental and Assoc PC
• Kevin Robert Pugh, DO

• Vascular Surgery Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.