Organization Active NPI

Jalaja V Piska,MD,LTD

  • Pain Medicine (Anesthesiology) Physician
  • Frankfort, IL
National Provider Identifier
1073560546
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
JALAJA V PISKA,MD,LTD
Practice address
10095 W Lincoln Hwy
Frankfort, IL 60423
Phone
(815) 806-0400
Fax
(815) 806-0406
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Dr. Jalaja Venugopal Piska, M.DNPI 1427035815
Title
President
Phone
(815) 806-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

10095 W Lincoln Hwy
Frankfort, IL 60423

Mailing address

10095 W Lincoln Hwy
Frankfort, IL 60423-1272
Phone (815) 806-0400

Other practice location 1

555 W Court St Ste 403A
Kankakee, IL 60901-3664
Phone (815) 806-0400

Other identifiers 1

IdentifierTypeStateIssuer
200409690MedicaidIN

Other names 1

  • ADVANCED PAIN SPECIALISTS Doing business as

National Provider Directory

National Provider Directory

Locations

Carol Stream, IL 60122

2611 S Lawndale Ave
Chicago, IL 60623
Phone (773) 521-6666

20500 S La Grange Rd
Ste 7
Frankfort, IL 60423
Phone (815) 929-9700

10095 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 400-8073

555 W Court St
Ste 403A
Kankakee, IL 60901
Phone (815) 806-0400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1073560546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10095 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231272",
            "telephone_number": "815-806-0400",
            "fax_number": "815-806-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "815-806-0400",
            "fax_number": "815-806-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W Court St Ste 403A",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013664",
            "country_code": "US",
            "telephone_number": "815-806-0400",
            "fax_number": "815-806-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JALAJA V PISKA,MD,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "PISKA",
        "authorized_official_first_name": "JALAJA",
        "authorized_official_middle_name": "VENUGOPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-806-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200409690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED PAIN SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.