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DR. ELISSA KIM ADATYA M.D.
NPI 1871784553
Internal Medicine in Downers Grove, IL

Active since August 07, 2007PECOS Enrolled
1333 BUTTERFIELD RD, STE 130, DOWNERS GROVE, IL 60515(630) 371-0133(630) 371-0138 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Elissa Kim Adatya M.d. NPPES

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

DR. ELISSA KIM ADATYA M.D. (NPI 1871784553) is an individual internal medicine provider in Downers Grove, Illinois, licensed in Illinois (036136928) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871784553
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ELISSA KIM ADATYACredential: M.D.
Location Address1333 BUTTERFIELD RD, STE 130Downers Grove, IL 60515-5607
Mailing Address1333 Butterfield Rd, Ste 130Downers Grove, IL 60515-5607 · (630) 371-0133 · Fax (630) 371-0138
Phone(630) 371-0133
Fax(630) 371-0138
Sole ProprietorNo
Enumeration DateAugust 7, 2007
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1871784553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036136928✔ Licensed in MN · 55534✔ Licensed in CT · 048846✔ Licensed in NY · 246976
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 048846 (CT)
1333 BUTTERFIELD RD, Downers Grove, IL 60515
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Other Names 1

Other Name (5)Elissa D Kim M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elissa Kim Adatya M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Elissa Adatya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
1,776 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IPC HEALTHCARE SERVICES OF ILLINOIS, PC
Internal Medicine
1333 BUTTERFIELD RD, SUITE 130
DOWNERS GROVE, IL 60515
Dupage County (630) 371-0133
ADEMOLA AREMU
Nurse Practitioner (Family)
1333 BUTTERFIELD RD, STE 130
DOWNERS GROVE, IL 60515
Dupage County (630) 371-0133
DR. MYRA FRANCISCO VICENIO M.D.
Internal Medicine
1333 BUTTERFIELD RD, STE 130
DOWNERS GROVE, IL 60515
Dupage County (630) 371-0133

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 Elissa Adatya's NPI number?

The NPI number for Elissa Adatya is 1871784553. It was assigned to this individual provider in the NPPES registry on August 7, 2007. The provider is also known as Elissa D Kim M.D..

Where is Elissa Adatya located?

Elissa Adatya practices at 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515. The listed phone number is (630) 371-0133.

What is Elissa Adatya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elissa Adatya enrolled in Medicare?

Yes. Elissa Adatya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elissa Adatya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elissa Adatya reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Elissa Adatya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elissa Adatya was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.