Organization Active NPI

Ktag Health PLLC

  • Urgent Care Clinic/Center
  • Villa Park, IL
National Provider Identifier
1356286835
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KTAG HEALTH PLLC
Practice address
29 E Saint Charles Rd
Villa Park, IL 60181-2411
Phone
(312) 898-2671
NPI assigned
Apr 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Dr. Manish Gorasiya, MD, MPH
Title
Partner
Phone
(551) 208-6516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

29 E Saint Charles Rd
Villa Park, IL 60181-2411

Mailing address

6549 Garfield Ave
Burr Ridge, IL 60527-5238
Phone (312) 898-2671

National Provider Directory

National Provider Directory

Locations

29 E Saint Charles Rd
Villa Park, IL 60181
Phone (312) 898-2671

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1356286835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 GARFIELD AVE",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275238",
            "telephone_number": "312-898-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E SAINT CHARLES RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812411",
            "telephone_number": "312-898-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTAG HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "GORASIYA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "551-208-6516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.