PEDIATRIC & YOUNG ADULT ORTHOPAEDICS – NPI #1689734881
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

PEDIATRIC & YOUNG ADULT ORTHOPAEDICS is an orthopaedic surgeon located in OAK LAWN, IL. NPPES has assigned the NPI number 1689734881 to PEDIATRIC & YOUNG ADULT ORTHOPAEDICS on December 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC & YOUNG ADULT ORTHOPAEDICS” is a dba name, the actual legal business name for this organization is PRASAD GOURINENI M.D.S.C.. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 12 years ago on Jul 02, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC & YOUNG ADULT ORTHOPAEDICS below.

NPI Profile for
PRASAD GOURINENI M.D.S.C.

NPI Number
1689734881
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRASAD GOURINENI M.D.S.C.
Doing Business As (dba): PEDIATRIC & YOUNG ADULT ORTHOPAEDICS
Primary location
4440 W.95TH STREET
PEDIATRIC AMBULATORY CLINIC
OAK LAWN, IL 60453
Phone: (708) 684-4563 Fax: (707) 684-4763
Mailing address
3420 ADAMS ROAD
OAK BROOK, IL 60523
Phone: (630) 789-9223 Fax: (630) 242-8307
Organization Subpart
No
Authorized Official
PRASAD GOURINENI
PRESIDENT
Phone: (630) 789-9223
Updated
Identifiers

Identifiers for PEDIATRIC & YOUNG ADULT ORTHOPAEDICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036-092558
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
IL 036-092558

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.