DR. PARAS KANAKRAY PANDYA M.D.
NPI 1295706802
Emergency Medicine in Carbondale, IL
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
14Medicare enrollment records show Paras Pandya reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dyersburg, TN 38024
- Reassigned Medicare billing, Tennessee enrollment
- 256 clinicians in this Medicare group
Salem, IN 47167
- Reassigned Medicare billing, Indiana enrollment
- 532 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Rockford, IL 61104
- Reassigned Medicare billing, Illinois enrollment
- 106 clinicians in this Medicare group
Belvidere, IL 61008
- Reassigned Medicare billing, Illinois enrollment
- 90 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana enrollment
- 162 clinicians in this Medicare group
Lagrange, IN 46761
- Reassigned Medicare billing, Indiana enrollment
- 93 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Virginia enrollment
- 679 clinicians in this Medicare group
Galax, VA 24333
- Reassigned Medicare billing, Virginia enrollment
- 68 clinicians in this Medicare group
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 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.
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, INParkview Huntington Hospital
Acute Care Hospitals · Huntington, INParkview Whitley Hospital
Acute Care Hospitals · Columbia City, INParkview Wabash Hospital, Inc
Critical Access Hospitals · Wabash, INUnited Hospital District
Critical Access Hospitals · Blue Earth, MNPhysician 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.
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.
CARBONDALE, IL 62901
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.
Which organizations bill Medicare for Paras Pandya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paras Pandya reassigns Medicare benefits to 14 organizations: T M Carr MD PC (Dyersburg, TN), Baptist Health Medical Group Inc (Salem, IN), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN), Rockford Emergency Physicians, LLC (Rockford, IL), Belvidere Emergency Physicians, LLC (Belvidere, IL) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paras Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paras Pandya accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health and 1 other insurer 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 13 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.
# Dr. Paras Kanakray Pandya, M.D. · NPI 1295706802
Emergency Medicine physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since January 31, 2006.
## Identity
- **NPI:** 1295706802 (Entity type: Individual)
- **Enumerated:** January 31, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 62928 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 W JACKSON ST, Carbondale, IL 62901
- **Phone:** (618) 549-0721 · **Fax:** (618) 457-0469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): T M Carr MD PC (NPI 1992706097, Dyersburg, TN); Baptist Health Medical Group Inc (NPI 1225633761, Salem, IN); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); Rockford Emergency Physicians, LLC (NPI 1639876634, Rockford, IL); Belvidere Emergency Physicians, LLC (NPI 1306543319, Belvidere, IL); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** September 2, 2025
- **Other identifiers:** Medicaid 197929 (VA); Medicaid 0078251 (OH); Other 234124 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295706802) · Data from the CMS NPPES public registry.