Khaunsavan Vongphakdy, PA
NPI 1609624006 · Surgical Physician Assistant · Evanston, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Khaunsavan Vongphakdy, PA is a Surgical Physician Assistant provider in Evanston, IL (NPI 1609624006).
Provider details
- NPI number
- 1609624006
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-09
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Frequently asked questions
- What is Khaunsavan Vongphakdy's NPI number?
- Khaunsavan Vongphakdy's National Provider Identifier (NPI) is 1609624006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khaunsavan Vongphakdy's specialty?
- Khaunsavan Vongphakdy is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Khaunsavan Vongphakdy located?
- Khaunsavan Vongphakdy's practice location on file with NPPES is 2650 Ridge Ave, Evanston, IL 60201-1781.
- What is Khaunsavan Vongphakdy's phone number?
- The practice phone number listed in the NPPES registry for Khaunsavan Vongphakdy is (847) 570-2000.
- Does Khaunsavan Vongphakdy accept Medicare?
- Khaunsavan Vongphakdy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Khaunsavan Vongphakdy's NPI active?
- Yes — Khaunsavan Vongphakdy's NPI (1609624006) is active in the NPPES registry as of the last update on 2024-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.