Individual provider Active NPI

Shreya Vasavada, PA

  • Medical Physician Assistant
  • Naperville, IL
National Provider Identifier
1942788922
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085006723 Issued in IL
Practice address
12 Vincent CT
Naperville, IL 60565-1106
Phone
(630) 484-6127
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085006723 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

12 Vincent CT
Naperville, IL 60565-1106

Mailing address

12 Vincent CT
Naperville, IL 60565-1106

Other practice location 1

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220 ext. 222

Other practice location 2

12 Vincent Ct
Naperville, IL 60565-1106
Phone (630) 484-6127

Other identifiers 1

IdentifierTypeStateIssuer
1154322OtherILNCCPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009001420 IL Practitioner - Physician Assistant 8426300070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jun 26, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 26, 2020 Accepting new patients
Best Practices Inpatient Care,LTD CurrentSince Oct 1, 2018 Accepting new patients
Best Practices Inpatient Care, LTD. CurrentSince Oct 1, 2018 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

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 1

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1942788922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VINCENT CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VINCENT CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651106",
            "telephone_number": "630-484-6127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 Salem Lake Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Long Grove",
            "state": "IL",
            "postal_code": "600475292",
            "country_code": "US",
            "telephone_number": "847-719-2220 x222",
            "fax_number": "847-719-2265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Vincent Ct",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605651106",
            "country_code": "US",
            "telephone_number": "630-484-6127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASAVADA",
        "first_name": "SHREYA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085006723",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1154322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.