SANJEEV KUMAR PRADHAN M.D. NPI 1750557658

NPI Information

  • NPI: 1750557658
  • Provider Name: SANJEEV KUMAR PRADHAN, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20060 GOVERNORS DR STE 100
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Phone: (708) 821-7794

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NPI Details

Sanjeev Kumar Pradhan, M.D. is a vascular surgery surgery in Olympia Fields, IL with 28 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Sanjeev Kumar Pradhan, M.D. NPI is 1750557658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1998

The provider's business location address is:

20060 GOVERNORS DR STE 100
OLYMPIA FIELDS, IL
ZIP 60461-029
Phone: (708) 821-7794

The NPI 1750557658 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
  • Insertion of stent in vein with review by radiologist, initial vein (HCPCS:37238)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Creation of artery-vein connection using tube graft for hemodialysis (HCPCS:36830)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/1/2008 and was last updated on 9/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery036-120607ILLINOISNo
22086S0129XSurgeryVascular Surgery036-120607ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101618941OTHERILLINOISBCBS
2036120607MEDICAIDILLINOIS
3200913040BMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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