PRAVEENA WALTER ARYA
NPI 1790166239
Obstetrics & Gynecology in Aurora, IL

Active since June 10, 2015PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
400 N HIGHLAND AVE, AURORA, IL 60506(312) 927-1479 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Praveena Walter Arya NPPES

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

PRAVEENA WALTER ARYA (NPI 1790166239) is an individual obstetrics & gynecology provider in Aurora, Illinois, licensed in Illinois (036147980) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1790166239
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePRAVEENA WALTER ARYA
Location Address400 N HIGHLAND AVEAurora, IL 60506-3814
Mailing Address8335 116th St Apt 1bRichmond Hill, NY 11418-3472 · (312) 927-1479
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 10, 2015
Last NPPES UpdateJuly 3, 2019
NPI 1790166239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036147980
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
400 N HIGHLAND AVE, Aurora, IL 60506

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 and accepts Medicare assignment

Praveena Walter Arya 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.

PECOS PAC ID1052656121
PECOS Enrollment IDI20221011001681
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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services32 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
400 N HIGHLAND AVE
AURORA, IL 60506
Pediatrics
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Family)
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Psychiatric/Mental Health)
400 N HIGHLAND AVE
AURORA, IL 60506
Registered Nurse
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Family)
400 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner (Psychiatric/Mental Health)
400 N HIGHLAND AVE
AURORA, IL 60506
Psychiatry & Neurology (Psychiatry)
400 N HIGHLAND AVE
AURORA, IL 60506

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 Praveena Arya's NPI number?

The NPI number for Praveena Arya is 1790166239. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Praveena Arya located?

Praveena Arya practices at 400 N Highland Ave, Aurora, IL 60506. The listed phone number is (312) 927-1479.

What is Praveena Arya's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Praveena Arya enrolled in Medicare?

Yes. Praveena Arya 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.

What insurance does Praveena Arya accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care list Praveena Arya 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 Praveena Arya affiliated with any hospitals?

According to CMS data, Praveena Arya is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Praveena Arya was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.