Active NPI
Pradnya P Vakil, P.A.
- Physician Assistant
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-003131
- Practice address
- 101 W University Ave
Champaign, IL 61820-3909 - Phone
- (217) 366-1255
- Fax
- (217) 366-6106
- NPI assigned
- Mar 31, 2008
- Last updated
- Jun 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-003131 | IL | Primary |
Addresses
Primary practice location
101 W University Ave
Champaign, IL 61820-3909
Mailing address
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1255
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200
109 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-5180
1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251
1710 E Windsor Rd
Urbana, IL 61802-9564
Phone (217) 344-9440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-003131 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Clinic, PLLC | Current | Accepting new patients |
Locations
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
1801 W Windsor Rd
Champaign, IL 61822
Phone (217) 366-5434
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
Interoperability endpoints
- lfeit@wih.cernerdirect.carene.org
- pvakilpa288489@carlehiedirect.net
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.
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1942472832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-366-1255",
"fax_number": "217-366-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-366-1255",
"fax_number": "217-366-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKIL",
"first_name": "PRADNYA",
"middle_name": "P",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-003131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
- University of Illinois Department of Speech & Hearing Science (Audiology Clinic)
- University of Illinois Speech and Hearing (Speech-Language Pathology Clinic)
- Untapt Counseling
- Gregory Uy
- Ikechukwu Uzoaru Jr., CNP
- Aileen Valdovinos
- Gina M, Valio, D.C.
- Dien Van-the, R.PH.
- Karie Vander Werf, D.V.M.
- Harold Lee Vandervelde, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.