Active NPI
Paras Kanakray Pandya, M.D.
- Emergency Medicine Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 62928
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197929 | Medicaid | VA | |
| 0078251 | Medicaid | OH | |
| 234124 | Other | VA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IL, TN, MN, TX, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036146689 | IL | MD | Emergency Medicine Physician |
| 62928 | TN | MD | Emergency Medicine Physician |
| 0101840441 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Emergency Physicians of Southern Virginia LLP | Emergency Medicine | Current | Accepting new patients |
| United Hospital District Inc. | Current | Accepting new patients | |
| Community Hospital of Lagrange County, Inc. | Current | Accepting new patients | |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Professional Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas - Houston, PLLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Ingleside Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Kingsford Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| T M Carr MD PC | Emergency Medicine | Current | Accepting new patients |
| Community Hospital of Lagrange County Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Belvidere Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Rockford Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Rockford Health Physicians | Current | Accepting new patients | |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| MCV Associated Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| United Hospital District Inc. | Past | 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
- 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.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1144215096
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1306543319
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1639876634
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- Emergency Medicine Physician
- Galax, VA
- NPI 1417187667
-
- Emergency Medicine Physician
- Plainview, TX
- NPI 1760028740
-
- Emergency Medicine Physician
- Low Moor, VA
- NPI 1144712662
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1023060472
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.