Individual provider Active NPI

Pavana Radhakrishna, M.D

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1053595934
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036120016 Issued in IL
Practice address
2000 Ogden Ave.
Aurora, IL 60504
Phone
(866) 565-8607
Fax
(312) 563-8661
NPI assigned
Dec 27, 2007
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036120016 IL Primary

Addresses

Primary practice location

2000 Ogden Ave.
Aurora, IL 60504

Mailing address

2000 Ogden Ave.
Ste. P050
Aurora, IL 60504
Phone (866) 565-8607

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080916000353 IL Practitioner - Internal Medicine 3779650833 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800

201 N Hammes Ave
Joliet, IL 60435-6611
Phone (224) 273-6350

2040 Ogden Ave
Aurora, IL 60504-7205

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Prime Healthcare Illinois Medical Group LLC Internal Medicine CurrentSince Jun 26, 2025 Accepting new patients
Des Plaines Physician Services, P.C. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Rush-Copley Medical Group, NFP Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Copley Memorial Hospital Inc. PastSince Sep 8, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2000 Ogden Ave
Ste P50
Aurora, IL 60504

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

333 Madison St
Ste J
Joliet, IL 60435

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1053595934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE.",
            "address_2": "STE. P050",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "866-565-8607",
            "fax_number": "312-563-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE.",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "866-565-8607",
            "fax_number": "312-563-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNA",
        "first_name": "PAVANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036120016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.