Individual provider Active NPI

Praveena Walter Arya

  • Obstetrics & Gynecology Physician
  • Aurora, IL
National Provider Identifier
1790166239
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036147980 Issued in IL
Practice address
400 N Highland Ave
Aurora, IL 60506-3814
Phone
(312) 927-1479
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036147980 IL Primary

Addresses

Primary practice location

400 N Highland Ave
Aurora, IL 60506-3814

Mailing address

8335 116TH St Apt 1B
Richmond Hill, NY 11418-3472
Phone (312) 927-1479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191016001658 IL Practitioner - Obstetrics/Gynecology 1052656121 Reassigns benefits to 1 organization
I20221011001681 NH Practitioner - Obstetrics/Gynecology 1052656121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

168 Kinsley St
Suite 20
Nashua, NH 03060-3634
Phone (603) 883-3365

Hospital & facility affiliations

  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036147980ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Oct 31, 2022 Accepting new patients
Vna Health Care CurrentSince Sep 1, 2019 Accepting new patients
Vna Health Care CurrentSince Sep 1, 2019 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Oct 31, 2022 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

400 N Highland Ave
Aurora, IL 60506

208 Robinson Rd
Hudson, NH 03051
Phone (603) 577-3410

168 Kinsley St
Ste 20
Nashua, NH 03060
Phone (603) 880-3541

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: parya586205@direct.ochin.org
  • Direct secure messaging: parya1380224@direct.bsmhealth.org

Organizations & group practices 5

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 2

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1790166239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 116TH ST APT 1B",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183472",
            "telephone_number": "312-927-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "312-927-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYA",
        "first_name": "PRAVEENA",
        "middle_name": "WALTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036147980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.