DR. VISHESH PAUL M.D.
NPI 1932396868
Internal Medicine - Pulmonary Disease in Urbana, IL

Active since September 25, 2007PECOS EnrolledAccepts Medicare Assignment
611 W. PARK ST., PULMONARY MEDICINE, URBANA, IL 61801(217) 383-3190(217) 383-7117 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vishesh Paul M.d. NPPES

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

DR. VISHESH PAUL M.D. (NPI 1932396868) is an individual pulmonary disease provider in Urbana, Illinois, licensed in Illinois (036135160) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1932396868
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VISHESH PAULCredential: M.D.
Location Address611 W. PARK ST., PULMONARY MEDICINEUrbana, IL 61801-2500
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792
Fax(217) 383-7117
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 25, 2007
Last NPPES UpdateDecember 3, 2014
NPI 1932396868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IL · 036135160
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
611 W. PARK ST., Urbana, IL 61801

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

Dr. Vishesh Paul M.d. 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 ID749400471
PECOS Enrollment IDI20141001001512
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 14

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
148 services113 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
128 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
77 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services50 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
48 services37 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims25 services$18.83 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$52.92 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers39 claims39 services$912.95 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers62 claims63 services$6.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers178 claims179 services$93.24 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
5 suppliers84 claims84 services$32.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801

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 Vishesh Paul's NPI number?

The NPI number for Vishesh Paul is 1932396868. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Vishesh Paul located?

Vishesh Paul practices at 611 W. Park St. Pulmonary Medicine, Urbana, IL 61801. The listed phone number is (217) 383-3190.

What is Vishesh Paul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Vishesh Paul enrolled in Medicare?

Yes. Vishesh Paul 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 Vishesh Paul affiliated with any hospitals?

According to CMS data, Vishesh Paul is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Vishesh Paul was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.