Umakanth Avula

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

036-156843 Issued in IL

Practice address

611 W Park St
Urbana, IL 61801-2529

Phone

(217) 383-3240

Fax

(217) 383-4868

NPI assigned

Jun 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

General Surgery

Education

Indiana University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cook CountyGroup PAC ID 2860398088, 770 clinicians

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
• John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124
• Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
• Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
• Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cook County

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1588612832
  Medicare reassignment Care Compare group NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689
  Medicare reassignment NPD
• Cook County

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1821385170

  Surgery

  NPD
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1831219450
  NPD
• Central PA Pharmacy LLC.

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

• Cook County

  • Clinic Pharmacy
  • Blue Island, IL
  • NPI 1043238298

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Robbins, IL
  • NPI 1053942045

  Hospital

  Care Compare affiliation
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1093283533

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • North Riverside, IL
  • NPI 1295366466

  Hospital

  Care Compare affiliation
• Cook County

  • Primary Care Clinic/Center
  • Phoenix, IL
  • NPI 1336269133

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1366073256

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1366073355

  Hospital

  Care Compare affiliation
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1386110674

  Hospital

  Care Compare affiliation
• Cook County

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1396865077

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Ford Heights, IL
  • NPI 1427689413

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Oak Forest, IL
  • NPI 1457982340

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1457982449

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1124479167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-3240",
            "fax_number": "217-383-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-3240",
            "fax_number": "217-383-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVULA",
        "first_name": "UMAKANTH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036156843",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036156843",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IL",
            "license": "036-156843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• At Home With CLV LLC
• Athletico LTD
• Erin A Atkinson, NP
• Abdel-Moneim M Attia, MD
• Claire Marie Aucoin, M.D.
• Nazanin Azarvash, MD
• Irum Azim, M.D.
• Eric Baddour, M.D.
• Jonathan S Bailey, DMD, MD
• Tamaca Bailey, LPN

• Trauma Surgery Physician in Urbana, IL
• Providers in Urbana, IL by specialty
• Trauma Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.