Active NPI
Pravir Baxi, M.D.
- Nephrology Physician
- Chicago, IL
National Provider Identifier
1780970731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036135424
- Practice address
- 104 S Ashland Ave
Chicago, IL 60607-2402 - Phone
- (312) 850-8434
- Fax
- (312) 850-8431
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036135424 | IL | Primary |
Addresses
Primary practice location
104 S Ashland Ave
Chicago, IL 60607-2402
Mailing address
120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000
Other practice location 1
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-2875
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160705000806 | IL | Practitioner - Nephrology | 3779873757 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edmund J Lewis MD and Associates
Practice addresses (Care Compare)
104 S Ashland Ave
Chicago, IL 60607-2402
Phone (312) 850-8434
Hospital & facility affiliations
- Circle Medical Management
- Rush University Medical Center
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Northern Illinois, LTD. | Nephrology | Past | Accepting new patients |
| SRS-Chicago Circle, LLC | Past | Accepting new patients |
Interoperability endpoints
- pbaxi74678@direct.acumenmd.com
- pbaxi42588@direct.rush.rush-health.com
Organizations & group practices 3
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.
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
Nephrology
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1497402770
Hospital & facility affiliations 4
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": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1780970731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231557",
"telephone_number": "630-573-5000",
"fax_number": "630-368-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072402",
"telephone_number": "312-850-8434",
"fax_number": "312-850-8431"
}
],
"practiceLocations": [
{
"address_1": "1653 W Congress Pkwy",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123833",
"country_code": "US",
"telephone_number": "312-563-2875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAXI",
"first_name": "PRAVIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036135424",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nephdocs.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 W 22nd St",
"city": "Oak Brook",
"state": "IL",
"country_code": "US",
"postal_code": "605231557",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 29, 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.