Organization Active NPI

VA Illiana Healthcare System

  • Geriatric Medicine (Internal Medicine) Physician
  • Danville, IL
National Provider Identifier
1215022314
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
036067445 Issued in IL
Legal business name
VA ILLIANA HEALTHCARE SYSTEM
Practice address
1900 E Main Street
Danville, IL 61832
Phone
(217) 554-5630
NPI assigned
Oct 4, 2006
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Usha Rani Paruchuri, M.D.
Title
Chief, Geriatrics and Extended Care
Phone
(217) 554-5630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036067445 IL Primary

Addresses

Primary practice location

1900 E Main Street
Danville, IL 61832

Mailing address

1900 E Main Street
Danville, IL 61832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1215022314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MAIN STREET",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN STREET",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-554-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA ILLIANA HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "PARUCHURI",
        "authorized_official_first_name": "USHA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "CHIEF, GERIATRICS AND EXTENDED CARE",
        "authorized_official_telephone_number": "217-554-5630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036067445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.