Active NPI
Prema Nanavaty, MD
- Pulmonary Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036138746
- Practice address
- 1725 W Harrison St Ste 264
Chicago, IL 60612-3844 - Phone
- (312) 563-2100
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036138746 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036138746 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036138746 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St Ste 264
Chicago, IL 60612-3844
Mailing address
1725 W Harrison St Ste 264
Chicago, IL 60612-3844
Phone (312) 563-2100
Other practice location 1
3000 Gallows Road
INOVA Fairfax Hospital
Washington, DC 20037
Phone (202) 715-4000
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904
1620 W Harrison St
Chicago, IL 60612-3801
1653 W Congress Pkwy
Chicago, IL 60612-3833
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
1725 W Harrison St
Suite 450
Chicago, IL 60612-4828
Phone (312) 563-4238
516 S Loomis St
Chicago, IL 60607-2812
Phone (312) 942-5000
Hospital & facility affiliations
- Rush University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036138746 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Rush Oak Park Nocturnist | Internal Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Rush University Medical Group | Internal Medicine | Current | Accepting new patients |
| Rush University Medical Center | Internal Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
75 Remittance Dr
Chicago, IL 60675
1725 W Harrison St
Ste 264
Chicago, IL 60612
Phone (312) 942-2195
1653 W Congress Pkwy
#297
Chicago, IL 60612
Phone (312) 942-5092
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1725 W Harrison St
Ste 263
Chicago, IL 60612
Phone (312) 942-6163
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 54
Chicago, IL 60612
Phone (312) 942-5871
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
Interoperability endpoints
- pnanavaty120678@direct.rush.rush-health.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Critical Care Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1821641499
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1518260165
-
- Critical Care Medicine (Internal Medicine) Physician
- Kankakee, IL
- NPI 1174320873
-
- Critical Care Medicine (Internal Medicine) Physician
- Belleville, IL
- NPI 1386002368
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1700044112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 264",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123844",
"telephone_number": "312-563-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 264",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123844",
"telephone_number": "312-563-2100"
}
],
"practiceLocations": [
{
"address_1": "3000 Gallows Road",
"address_2": "INOVA Fairfax Hospital",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20037",
"country_code": "US",
"telephone_number": "202-715-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NANAVATY",
"first_name": "PREMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036138746",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036138746",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036138746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.