KHAUNSAVAN VONGPHAKDY PA
NPI 1609624006
Physician Assistant - Surgical in Evanston, IL
About Khaunsavan Vongphakdy Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHAUNSAVAN VONGPHAKDY PA (NPI 1609624006) is an individual surgical provider in Evanston, Illinois, licensed in Illinois (085010441) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Khaunsavan Vongphakdy Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
EVANSTON, IL 60201
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 Khaunsavan Vongphakdy's NPI number?
The NPI number for Khaunsavan Vongphakdy is 1609624006. It was assigned to this individual provider in the NPPES registry on May 9, 2024.
Where is Khaunsavan Vongphakdy located?
Khaunsavan Vongphakdy practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-2000.
What is Khaunsavan Vongphakdy's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Khaunsavan Vongphakdy enrolled in Medicare?
Yes. Khaunsavan Vongphakdy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Khaunsavan Vongphakdy affiliated with any hospitals?
According to CMS data, Khaunsavan Vongphakdy is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Khaunsavan Vongphakdy was last updated on May 13, 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.
# Khaunsavan Vongphakdy, PA · NPI 1609624006
Surgical physician in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since May 9, 2024.
## Identity
- **NPI:** 1609624006 (Entity type: Individual)
- **Enumerated:** May 9, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085010441 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2650 RIDGE AVE, Evanston, IL 60201-1781
- **Phone:** (847) 570-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609624006) · Data from the CMS NPPES public registry.