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LAVISHA PRAKASH MIRPURI M.D
NPI 1114771540
Pediatrics in Chicago, IL

Active since April 12, 2024PECOS Enrolled
820 S WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Apr 12, 2024 (2 updates tracked since 2024).

About Lavisha Prakash Mirpuri M.d NPPES

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

LAVISHA PRAKASH MIRPURI M.D (NPI 1114771540) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125083862) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114771540
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAVISHA PRAKASH MIRPURICredential: M.D
Location Address820 S WOOD STREET, SUITE 100, MC 675Chicago, IL 60612
Mailing Address820 S Wood Street, Suite 100, Mc 675Chicago, IL 60612 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Enumeration DateApril 12, 2024
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
✔ NPI 1114771540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125083862
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
820 S WOOD STREET, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lavisha Prakash Mirpuri M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 9

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

DR. CASEY-JOHN ADRIAN KEYES DO
Emergency Medicine
820 S WOOD STREET, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. JADA MCDONALD MD
Student in an Organized Health Care Education/Training Program
820 S WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2993
DANIEL CISNEROS MONTOYA M.D.
Pediatrics
820 S WOOD STREET
CHICAGO, IL 60612
Cook County (312) 996-2933
DIVYANI PATEL MD
Emergency Medicine
820 S WOOD STREET, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
OMAIMA ANIS BHATTI M.D
Pediatrics
820 S WOOD STREET
CHICAGO, IL 60612
Cook County (312) 996-2933
PRIYANKA GUPTA MBBS
Student in an Organized Health Care Education/Training Program
820 S WOOD STREET, SUITE 100 (MC 675)
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. JUAN MANUEL GARCIA VACA M.D.
Pediatrics
820 S WOOD STREET
CHICAGO, IL 60612
Cook County (312) 996-2933
AHMED SALEM M.D.
Student in an Organized Health Care Education/Training Program
820 S WOOD STREET, (MC 675) SUITE 100
CHICAGO, IL 60612
Cook County (973) 659-7157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavisha Mirpuri's NPI number?

The NPI number for Lavisha Mirpuri is 1114771540. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Where is Lavisha Mirpuri located?

Lavisha Mirpuri practices at 820 S Wood Street Suite 100, Mc 675, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Lavisha Mirpuri's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lavisha Mirpuri enrolled in Medicare?

Yes. Lavisha Mirpuri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lavisha Mirpuri was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.