Vasant R Acharya, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Oak Park, IL
NPI 1124035944 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1124035944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036050860 (IL)
- Practice address
- 932 Lake St Ste 300
Oak Park, IL 60301-1204 - Phone
- (331) 221-1700
- Fax
- (331) 221-2729
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036050860 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Health Ventures | Obstetrics & Gynecology | Current |
Accepting new patients |
| Edward Health Ventures | Current |
Accepting new patients | |
| West Suburban Hospital Medical Center | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Macneal Physicians Group LLC | Past | Accepting new patients |
Locations
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
7420 Central Ave
Ste 2030
River Forest, IL 60305
Phone (708) 386-2400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036050860 | IL | Yes |
Addresses
Primary practice location
932 Lake St Ste 300
Oak Park, IL 60301-1204
Mailing address
932 Lake St Ste 300
Oak Park, IL 60301-1204
Phone (331) 221-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050860 | Medicaid | IL | |
| P00260047 | Other | IL | MEDICARE RAILROAD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vacharya118657@direct.edward.org | Direct |
Other providers in Oak Park, IL
- Academic & Clinical Associates in Dermatology LTD
- Academic Medicine Service SC
- Michelle Marie Accettura
- Jennifer L. Acevedo
- Minakshi Acharya
- Acm Transportation Inc.
- Acorn Podiatry Center LTD
- Melvin Anthony Sebuc Adalin
- Brittany Adams Yee
- Jason R Adams
All providers in Oak Park, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.