DR. PARAS KANAKRAY PANDYA M.D.
NPI 1295706802
Emergency Medicine in Carbondale, IL

Active since January 31, 2006PECOS Enrolled
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 457-0469 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2025, Sep 20, 2021, Jul 27, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Paras Kanakray Pandya M.d. NPPES

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

DR. PARAS KANAKRAY PANDYA M.D. (NPI 1295706802) is an individual emergency medicine provider in Carbondale, Illinois, licensed in Tennessee (62928) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Health System, Llc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295706802
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PARAS KANAKRAY PANDYACredential: M.D.
Location Address405 W JACKSON STCarbondale, IL 62901
Mailing Address14613 Lander RdMidlothian, VA 23113-6731 · (804) 897-1642
Fax(618) 457-0469
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1996
Enumeration DateJanuary 31, 2006
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1295706802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TN · 62928 Licensed in IL · 036146689 Licensed in VA · 0101840441 Licensed in IN · 01091667A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
405 W JACKSON ST, Carbondale, IL 62901

Secondary Practice Locations 2

Location 1702 Van Buren StFort Wayne, IN 46802-3697 · Phone (856) 686-4341
Location 2PO Box 6354004Cincinnati, OH 45263-0001 · Phone (888) 952-6772

Other Identifiers 3

Medicaid197929VA
Medicaid0078251OH
Other234124VA · Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Paras Kanakray Pandya M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416982657
PECOS Enrollment IDI20211008000211, I20220503000995, I20231030002791
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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
36 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

United Hospital District

Critical Access Hospitals · Blue Earth, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241369
Location515 South Moore StreetBlue Earth, MN 56013 · Faribault County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901

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 Paras Pandya's NPI number?

The NPI number for Paras Pandya is 1295706802. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Paras Pandya located?

Paras Pandya practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Paras Pandya's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paras Pandya enrolled in Medicare?

Yes. Paras Pandya is registered in the Medicare PECOS enrollment system.

What insurance does Paras Pandya accept?

Health plans from CareSource, Medica and Oscar Insurance Company list Paras Pandya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paras Pandya affiliated with any hospitals?

According to CMS data, Paras Pandya is affiliated with St Joseph Health System, LLC, Parkview Huntington Hospital, Parkview Whitley Hospital, Parkview Wabash Hospital, Inc and United Hospital District.

When was this NPI record last updated?

The NPPES record for Paras Pandya was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.