Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831993260 Individual Practitioner Male Practitioner

Rohan Pamidi

Dentist - General Practice • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Rohan Pamidi is a registered healthcare professional specializing in Dentist - General Practice in Maywood, IL. Practice services are available at 2160 S 1ST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2160 S 1st Ave

Maywood, IL 601533328

Telephone 2605795343
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Maywood, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.036200

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Dr. Bryce Paschold , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1003103045

Doctor of Podiatric Medicine

Dr. Antonio Iglesias , MD

Psychiatry & Neurology - Neurology

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Doctor of Medicine (M.D.)

Ian Mccomb

Oral & Maxillofacial Surgery

NPI 1003234287
Dr. James Wu , DO

Psychiatry & Neurology - Psychiatry

NPI 1003242744

Doctor of Osteopathic Medicine (D.O.)

Dr. Paige Song , MD

Student in an Organized Health Care Education/Training Program

NPI 1003394743

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address May 19, 2025

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328

NPI Profile Active April 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2025

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328 (Tel: 2605795343)

📍
Updated Business Mailing Address April 03, 2025

Registered at 15015 HERON LAKE XING, FORT WAYNE, IN 468147585 (Tel: 2605795343)

👤
Provider Name / Credentials Updated April 03, 2025

Recorded as ROHAN PAMIDI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831993260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2025
Last Update: July 09, 2025
Sole Proprietor: Yes

Mailing Address

2160 S 1st Ave

Maywood, IL 601533328

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.