Parasakthi Kolandaivelu, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Practice address

Virginia & Franklin Streets
Normal, IL 61761

Phone

(309) 827-4321

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Illinois Neuroradiology, LTD

  • Specialist
  • Bloomington, IL
  • NPI 1881641371
  NPD (past)
• Prairie Emergency Group, LTD.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Normal, IL
  • NPI 1538184114
  NPD (past)
• HCC Region II LLC

  • Hospitalist Physician
  • Hemphill, TX
  • NPI 1528237559
  NPD (past)
• Sabine County Hospital District

  dba Sabine County Hospital

  • General Acute Care Hospital
  • Hemphill, TX
  • NPI 1508862921
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306873765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617279802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIRGINIA & FRANKLIN STREETS",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-827-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANDAIVELU",
        "first_name": "PARASAKTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053842-2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "05721369",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Kobler, CRNA
• David Koch, M.D.
• Valerie Koch, PHARMD
• Frank Koe, D.D.S.
• David W. Koh, M.D.
• Ramaprasad Konanur, M.D
• Bridget Kos
• Christine Kosharek
• Philip Koszyk, MD
• Meghan Krasny

• Emergency Medical Services (Emergency Medicine) Physician in Normal, IL
• Providers in Normal, IL by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.