Individual provider Active NPI

Prashant K Chawla, M.D.

  • Neuroradiology Physician
  • Chicago, IL
National Provider Identifier
1457349979
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
4301086849 Issued in MI
Practice address
30 W Erie St
#701
Chicago, IL 60654-2827
Phone
(312) 755-1595
NPI assigned
Oct 10, 2005
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 4301086849 MI Primary
Neuroradiology Physician 2085N0700X 036114920 IL

Addresses

Primary practice location

30 W Erie St
#701
Chicago, IL 60654-2827

Mailing address

30 W Erie St
#701
Chicago, IL 60654-2827
Phone (312) 755-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000944 CA Practitioner - Diagnostic Radiology 6406862275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rush Medical College of Rush University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Lomis M D Inc a Professional CorporationGroup PAC ID 9739145806, 12 clinicians

Practice addresses (Care Compare)

15211 Vanowen St
Suite 208
Van Nuys, CA 91405-3623
Phone (818) 782-3255

1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (562) 795-6314

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086849MIMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Imaging Healthcare, Inc. CurrentSince Aug 6, 2017 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Aug 6, 2017 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
Thomas J Lomis, MD, Inc. a Professional Corporation CurrentSince Jun 24, 2017 Accepting new patients
SVR Imaging LLC Past Accepting new patients
Joliet Radiological Service Corp Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients

Locations

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

26522 La Alameda
Ste 170
Mission Viejo, CA 92691
Phone (949) 535-2100

1661 Golden Rain Rd
Ste Radiology
Seal Beach, CA 90740
Phone (562) 795-6314

15211 Vanowen St
Ste 208
Van Nuys, CA 91405
Phone (818) 343-0705

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1457349979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W ERIE ST",
            "address_2": "#701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542827",
            "telephone_number": "312-755-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W ERIE ST",
            "address_2": "#701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542827",
            "telephone_number": "312-755-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "PRASHANT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MI",
            "license": "4301086849",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036114920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.