ANESSA PUSKAR
NPI 1902507940
Student in an Organized Health Care Education/Training Program in Urbana, IL

Q: What is Anessa Puskar's NPI number?

The NPI number for Anessa Puskar is 1902507940. It was assigned to this individual provider in the NPPES registry on March 16, 2023. The provider is also known as Anessa Puskar Tawakol.

Q: What is Anessa Puskar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anessa Puskar was last updated on April 3, 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.

Active since March 16, 2023PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 383-3311 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Mar 16, 2023 (2 updates tracked since 2023).

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About Anessa Puskar NPPES

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

ANESSA PUSKAR (NPI 1902507940) is an individual student in an organized health care education/training program in Urbana, Illinois and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902507940

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANESSA PUSKAR

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address1806 S Vine StUrbana, IL 61801-5838 · (630) 777-8618

Phone(217) 383-3311

Sole ProprietorNo

Enumeration DateMarch 16, 2023

Last NPPES UpdateApril 3, 20242 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1902507940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

611 W PARK ST, Urbana, IL 61801

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Other Names 1

Former Name (1)Anessa Puskar Tawakol

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anessa Puskar 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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology