ATHRA KAVIANI MD
NPI 1619219011
Pediatrics - Neonatal-Perinatal Medicine in Highland Park, IL

Q: What is Athra Kaviani's NPI number?

The NPI number for Athra Kaviani is 1619219011. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Q: What is Athra Kaviani's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Athra Kaviani was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 23, 2013PECOS Enrolled

777 PARK AVE W, HIGHLAND PARK, IL 60035(847) 570-2530(847) 570-0231 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2022, Apr 1, 2021, Jul 30, 2020 and 2 more (5 updates tracked since 2016).

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About Athra Kaviani Md NPPES

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

ATHRA KAVIANI MD (NPI 1619219011) is an individual neonatal-perinatal medicine provider in Highland Park, Illinois, licensed in Texas (Q5001) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619219011

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameATHRA KAVIANICredential: MD

Location Address777 PARK AVE WHighland Park, IL 60035-2433

Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (214) 345-6789 · Fax (214) 645-0078

Phone(847) 570-2530

Fax(847) 570-0231

Sole ProprietorNo

Enumeration DateMarch 23, 2013

Last NPPES UpdateNovember 16, 20225 updates tracked since enumeration

NPPES CertifiedNovember 16, 2022

✔ NPI 1619219011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in TX · Q5001

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 036153112 (IL)

Also ListedHospitalistTaxonomy 208M00000X · License 036153112 (IL)

777 PARK AVE W, Highland Park, IL 60035

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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)

Athra Kaviani Md 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.

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.

RUBY G. GUBAT CNS

Clinical Nurse Specialist

777 PARK AVE W, EP LAB, RM 1111
HIGHLAND PARK, IL 60035

Lake County (847) 480-2641

MRS. JENNIFER B RIFIS-MENG OTR/L

Occupational Therapist (Hand)

777 PARK AVE W
HIGHLAND PARK, IL 60035

Lake County (847) 480-3920

LAURA ANN CUMBY MA CCC-SLP

Speech-Language Pathologist

777 PARK AVE W, ROOM 2102
HIGHLAND PARK, IL 60035

Lake County (847) 480-3920

REBECCA F NISHIMOTO PA-C

Physician Assistant (Surgical)

777 PARK AVE W
HIGHLAND PARK, IL 60035

Lake County (847) 926-5844

MS. IRIS NUNAG PA-C

Physician Assistant

777 PARK AVE W, DEPARTMENT OF SURGERY
HIGHLAND PARK, IL 60035

Lake County (847) 926-5844

EMILY ANNE KOHLER PA-C

Physician Assistant

777 PARK AVE W
HIGHLAND PARK, IL 60035

Lake County (847) 432-8000

ANGELA MARIE PECORA PA-C

Physician Assistant (Surgical)

777 PARK AVE W
HIGHLAND PARK, IL 60035

Lake County (847) 432-8000

MRS. JOVI-ANNE C. MYERS APN-CNP

Nurse Practitioner

777 PARK AVE W
HIGHLAND PARK, IL 60035

Lake County (847) 570-2714

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 Athra Kaviani's NPI number?

The NPI number for Athra Kaviani is 1619219011. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Where is Athra Kaviani located?

Athra Kaviani practices at 777 Park Ave W, Highland Park, IL 60035. The listed phone number is (847) 570-2530.

What is Athra Kaviani's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Athra Kaviani enrolled in Medicare?

Yes. Athra Kaviani is registered in the Medicare PECOS enrollment system.

What insurance does Athra Kaviani accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Athra Kaviani 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.

When was this NPI record last updated?

The NPPES record for Athra Kaviani was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.