PRAKASH VAISHNAV MD
NPI 1316600489
Internal Medicine - Pulmonary Disease in Burr Ridge, IL

Active since October 15, 2021
4 MARISSA CT, BURR RIDGE, IL 60527(630) 952-1412 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2022, Oct 15, 2021 (2 updates tracked since 2021).

About Prakash Vaishnav Md NPPES

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

PRAKASH VAISHNAV MD (NPI 1316600489) is a healthcare organization registered as a pulmonary disease in Burr Ridge, Illinois and active in the NPI registry since October 2021. The organization lists Prakash Vaishnav, President, as its authorized official.

NPPES Registry Identity

NPI1316600489
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePRAKASH VAISHNAV MD
Location Address4 MARISSA CTBurr Ridge, IL 60527-6864
Mailing Address4 Marissa CtBurr Ridge, IL 60527-6864
Organization SubpartNo
Authorized OfficialPrakash VaishnavPresident · (630) 952-1412
Enumeration DateOctober 15, 2021
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1316600489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
4 MARISSA CT, Burr Ridge, IL 60527

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prakash Vaishnav Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20211104002960Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Prakash Vaishnav MD, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Pulmonary Disease
NPI 1770547309
10604 SOUTHWEST HIGHWAY SUITE 107
Chicago Ridge, IL 60415
(708) 371-8006
✔ PECOS7.1 mi
Nurse Practitioner
NPI 1134477706
1890 SILVER CROSS BLVD STE 350
New Lenox, IL 60451
(815) 714-8737
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1457412124
241 W WEAVER RD SUITE 240
Forsyth, IL 62535
(217) 876-6350
✔ PECOS✔ Accepts Medicare135 mi

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

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 Prakash Vaishnav MD's NPI number?

The NPI number for Prakash Vaishnav MD is 1316600489. It was assigned to this organization in the NPPES registry on October 15, 2021.

Where is Prakash Vaishnav MD located?

Prakash Vaishnav MD is located at 4 Marissa Ct, Burr Ridge, IL 60527. The listed phone number is (630) 952-1412.

What is Prakash Vaishnav MD's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Prakash Vaishnav MD enrolled in Medicare?

Yes. Prakash Vaishnav MD is registered in the Medicare PECOS enrollment system.

When is Prakash Vaishnav MD's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Prakash Vaishnav MD?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prakash Vaishnav MD, in Nurse Practitioner and Pulmonary Disease. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prakash Vaishnav MD was last updated on August 25, 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.