Individual provider Active NPI

Paras Kanakray Pandya, M.D.

  • Emergency Medicine Physician
  • Carbondale, IL
National Provider Identifier
1295706802
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
62928 Issued in TN
Practice address
405 W Jackson St
Carbondale, IL 62901
Phone
(618) 549-0721
Fax
(618) 457-0469
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036146689 IL
Emergency Medicine Physician 207P00000X 0101840441 VA
Emergency Medicine Physician 207P00000X 01091667A IN
Emergency Medicine Physician 207P00000X 62928 TN Primary

Addresses

Primary practice location

405 W Jackson St
Carbondale, IL 62901

Mailing address

14613 Lander Rd
Midlothian, VA 23113-6731
Phone (804) 897-1642

Other practice location 1

702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (856) 686-4341

Other practice location 2

PO Box 6354004
Cincinnati, OH 45263-0001
Phone (888) 952-6772

Other identifiers 3

IdentifierTypeStateIssuer
197929MedicaidVA
0078251MedicaidOH
234124OtherVABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL, TN, MN, TX, IN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050927001035 VA Practitioner - Emergency Medicine 7416982657 Reassigns benefits to 4 organizations
I20180723001803 IL Practitioner - Emergency Medicine 7416982657 Reassigns benefits to 3 organizations
I20211008000211 TN Practitioner - Emergency Medicine 7416982657 Reassigns benefits to 1 organization
I20220503000995 MN Practitioner - Emergency Medicine 7416982657 Reassigns benefits to 2 organizations
I20220520001115 TX Practitioner - Emergency Medicine 7416982657 Reassigns benefits to 1 organization
I20231030002791 IN Practitioner - Emergency Medicine 7416982657 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Professional Emergency Physicians PCGroup PAC ID 2769384213, 79 clinicians
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians
United Hospital District IncGroup PAC ID 6204158884, 50 clinicians

Practice addresses (Care Compare)

2001 Stults Rd
Huntington, IN 46750-1291
Phone (260) 355-3000

275 W 12TH St
Peru, IN 46970-1638
Phone (765) 472-8000

515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036146689ILMDEmergency Medicine Physician
62928TNMDEmergency Medicine Physician
0101840441VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Pathologists, LTD Current Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince Jul 31, 2021 Accepting new patients
United Hospital District Inc. CurrentSince May 2, 2022 Accepting new patients
Community Hospital of Lagrange County, Inc. CurrentSince Dec 12, 2025 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Dec 15, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Apr 29, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 20, 2023 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Jun 24, 2018 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince Jun 26, 2018 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Dec 17, 2023 Accepting new patients
Community Hospital of Lagrange County Inc CurrentSince Dec 12, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Nov 20, 2023 Accepting new patients
Belvidere Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 5, 2023 Accepting new patients
Rockford Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 5, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Rockford Health Physicians CurrentSince May 17, 2020 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
MCV Associated Physicians Emergency Medicine PastSince Sep 28, 2021 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations (25 of 29)

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

6515 Stellhorn Rd
Fort Wayne, IN 46815
Phone (260) 435-7001

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

275 W 12th St
Peru, IN 46970
Phone (317) 472-8022

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

Interoperability endpoints

  • Direct secure messaging: ppandya769297@direct.centracare.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1295706802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14613 LANDER RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136731",
            "telephone_number": "804-897-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W JACKSON ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-549-0721",
            "fax_number": "618-457-0469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468023697",
            "country_code": "US",
            "telephone_number": "856-686-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 6354004",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452630001",
            "country_code": "US",
            "telephone_number": "888-952-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "PARAS",
        "middle_name": "KANAKRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036146689",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101840441",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01091667A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "62928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197929",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078251",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "234124",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.