Prakash Vaishnav MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PRAKASH VAISHNAV MD

Practice address

4 Marissa CT
Burr Ridge, IL 60527-6864

Phone

(630) 952-1412

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Prakash Vaishnav, MDNPI 1770547309

Title

President

Phone

(630) 952-1412

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prakash Vaishnav, M.D.

  • Pulmonary Disease Physician
  • Chicago Ridge, IL
  • NPI 1770547309
  Medicare reassignment NPD Authorized official
• Karen Jean Krooswyk, ARNP-ANP-BC

  • Adult Health Nurse Practitioner
  • New Lenox, IL
  • NPI 1134477706
  Medicare reassignment NPD
• Jane Piraino, N.P.

  • Nurse Practitioner
  • Forsyth, IL
  • NPI 1457412124
  Medicare reassignment NPD

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1316600489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARISSA CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARISSA CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276864",
            "telephone_number": "630-952-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH VAISHNAV MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "VAISHNAV",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-952-1412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pleasantdale School District 107
• Ellen Pollack, PA
• Edwin Posadas, MD
• Brad E Powell, DPT
• Sean W Powers, DO
• Prime Care Seven, LLC
• Chinnamma Punnackapadavil, MD
• Raymond J Punzalan, P.A.-C
• Jay Purdy, MD
• Kenneth J Pursell, MD

• Pulmonary Disease Physician in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.