Active NPI
Punya Narain
- Pediatrics Physician
- Berwyn, IL
National Provider Identifier
1063955987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036172754
- Practice address
- 6840 W Windsor Ave
Berwyn, IL 60402-3441 - Phone
- (352) 217-3231
- NPI assigned
- Nov 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036172754 | IL | Primary |
Addresses
Primary practice location
6840 W Windsor Ave
Berwyn, IL 60402-3441
Mailing address
632 W Wellington Ave Apt 1W
Chicago, IL 60657-5356
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Associates LTD | Pediatrics | Current | Accepting new patients |
Locations
6840 W Windsor Ave
Berwyn, IL 60402
Phone (708) 484-0042
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1063955987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 W WELLINGTON AVE APT 1W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 W WINDSOR AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023441",
"telephone_number": "352-217-3231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARAIN",
"first_name": "PUNYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036172754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.