PRIYADARSHINI VERMA M.D.
NPI 1053443895
Internal Medicine - Infectious Disease in Aurora, IL

Q: What is Priyadarshini Verma's NPI number?

The NPI number for Priyadarshini Verma is 1053443895. It was assigned to this individual provider in the NPPES registry on March 9, 2007. The provider is also known as Priyadarshini Priyadarshini M.D..

Q: What is Priyadarshini Verma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment

2285 SEQUOIA DR, AURORA, IL 60506(630) 859-6700 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2025, Nov 18, 2021, Jul 14, 2016 (3 updates tracked since 2016).

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About Priyadarshini Verma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIYADARSHINI VERMA M.D. (NPI 1053443895) is an individual infectious disease provider in Aurora, Illinois, licensed in Illinois (036109706) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Mattoon.

NPPES Registry Identity

NPI1053443895

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NamePRIYADARSHINI VERMACredential: M.D.

Location Address2285 SEQUOIA DRAurora, IL 60506-6209

Mailing Address2357 Sequoia DrAurora, IL 60506-6222 · (630) 859-6800

Phone(630) 859-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 9, 2007

Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1053443895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in IL · 036109706

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2285 SEQUOIA DR, Aurora, IL 60506

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Other Names 1

Former Name (1)Priyadarshini Priyadarshini M.d.

Secondary Practice Location 1

Location 11000 Health Center Dr Ste 302Mattoon, IL 61938-4644 · Phone (217) 238-4850 · Fax (217) 238-4855

Other Identifiers 2

Other04515143IL · Bcbs#

Medicaid036109706IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priyadarshini Verma M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113015009

PECOS Enrollment IDI20080729000316

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Priyadarshini Verma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation

Same address

Multi-Specialty

2285 SEQUOIA DR
Aurora, IL 60506

Reassigned Medicare billing, Illinois enrollment
383 clinicians in this Medicare group

NPI 1003542184 (630) 859-6700

Sarah Bush Lincoln Health Center

159 mi

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

117 services51 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

101 services78 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

70 services34 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

69 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL JAMES LIGON LCSW

Social Worker (Clinical)