Individual provider Active NPI

Prema David, RN,MSN,NP-C

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1558304956
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209-000941(41-192393 Issued in IL
Practice address
1901 W Harrison St
Suite No 215, 637 S Wood St
Chicago, IL 60612-3714
Phone
(312) 864-4600
Fax
(312) 864-9569
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209-000941(41-192393 IL Primary

Addresses

Primary practice location

1901 W Harrison St
Suite No 215, 637 S Wood St
Chicago, IL 60612-3714

Mailing address

8151 Tripp Ave
Skokie, IL 60076-3249
Phone (847) 676-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120225000110 IL Practitioner - Nurse Practitioner 2264690080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians to You Home Health LimitedGroup PAC ID 5193972164, 10 clinicians

Practice addresses (Care Compare)

6916 Cermak Rd
Berwyn, IL 60402-2244
Phone (708) 933-3840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209-000941(41-192393ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians to You Home Health Limited CurrentSince May 10, 2021 Accepting new patients
John H. Stroger, Jr. Hospital of Cook County Past Accepting new patients

Locations

6916 Cermak Rd
Berwyn, IL 60402
Phone (708) 933-3840

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558304956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 TRIPP AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763249",
            "telephone_number": "847-676-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "address_2": "SUITE NO 215, 637 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-4600",
            "fax_number": "312-864-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "PREMA",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN,NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-000941(41-192393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.