Active NPI
Jalaja V Piska,MD,LTD
- Pain Medicine (Anesthesiology) Physician
- Frankfort, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jalaja Venugopal Piska, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200409690 | Medicaid | IN |
Other names 1
- ADVANCED PAIN SPECIALISTS
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Bourbonnais, IL
- NPI 1528361268
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.