Individual provider Active NPI

Parde Yesurathnam Lalitha, M.D.

  • Neurology Physician
  • Danville, IL
National Provider Identifier
1679681043
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-060351 Issued in IL
Practice address
1900 East Main St.
Danville, IL 61832-5198
Phone
(217) 554-3702
Fax
(217) 554-3704
NPI assigned
Aug 27, 2006
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036-060351 IL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036-060351 IL

Addresses

Primary practice location

1900 East Main St.
Danville, IL 61832-5198

Mailing address

1900 East Main St.
Danville, IL 61832-5198
Phone (217) 554-3702

Other names 1

  • Dr. Parde Y. Lalitha Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-060351ILMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients

Organizations & group practices 1

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1679681043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 EAST MAIN ST.",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325198",
            "telephone_number": "217-554-3702",
            "fax_number": "217-554-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 EAST MAIN ST.",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325198",
            "telephone_number": "217-554-3702",
            "fax_number": "217-554-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALITHA",
        "first_name": "PARDE",
        "middle_name": "YESURATHNAM",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-060351",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036-060351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARDE",
            "last_name": "LALITHA",
            "middle_name": "Y.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.