Individual provider Active NPI

Jalaja V. Piska, MD

  • Anesthesiology Physician
  • Frankfort, IL
National Provider Identifier
1427035815
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036104071 Issued in IL
Practice address
10095 W Lincoln Hwy
Frankfort, IL 60423
Phone
(815) 806-0400
Fax
(815) 806-0406
NPI assigned
Dec 27, 2005
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036-104071 IL
Anesthesiology Physician 207L00000X 036104071 IL Primary

Addresses

Primary practice location

10095 W Lincoln Hwy
Frankfort, IL 60423

Mailing address

10095 W Lincoln Hwy
Frankfort, IL 60423-1272
Phone (815) 806-0400

Other practice location 1

555 W Court St Ste 106
Kankakee, IL 60901-3673
Phone (815) 806-0400

Other identifiers 2

IdentifierTypeStateIssuer
2044193076012201MedicaidIL
213680OtherILMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060623000095 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0749292332 Reassigns benefits to 2 organizations
I20240829003683 IL Practitioner - AnesthesiologyPractitioner - Pain Management 0749292332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17680 Kedzie Ave
Suite 103
Hazel Crest, IL 60429-2083
Phone (708) 794-3347

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036104071ILMDAnesthesiology Physician
036-104071ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jalaja V Piska,MD,LTD Pain Medicine CurrentSince Jun 1, 2006 Accepting new patients
Midwest Anesthesia and Pain Specialists SC CurrentSince Sep 1, 2024 Accepting new patients
Midwest Anesthesia and Pain Specialists, SC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Ramesh P Kanuru M D Inc Anesthesiology Past Accepting new patients
Durga R Kanuru MD PC Past Accepting new patients
Continental Chronic Pain LTD Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

581 William R Latham SR Dr
Ste 103
Bourbonnais, IL 60914
Phone (815) 929-9700

Carol Stream, IL 60122

1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450

4646 N Marine Dr
Fl 8
Chicago, IL 60640
Phone (630) 537-1694

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 362-2917

9700 E Golf Rd
Des Plaines, IL 60016
Phone (630) 410-7700

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

10095 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 400-8073

17680 Kedzie Ave
Ste 103
Hazel Crest, IL 60429
Phone (708) 799-1717

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

19110 Darvin Dr
Ste C
Mokena, IL 60448
Phone (708) 390-2290

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1427035815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10095 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231272",
            "telephone_number": "815-806-0400",
            "fax_number": "815-806-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "815-806-0400",
            "fax_number": "815-806-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W Court St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013673",
            "country_code": "US",
            "telephone_number": "815-806-0400",
            "fax_number": "815-806-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISKA",
        "first_name": "JALAJA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-104071",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036104071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044193076012201",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "213680",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.