Khaunsavan Vongphakdy, PA
Surgical Physician Assistant · Evanston, IL
Khaunsavan Vongphakdy, PA is a surgical physician assistant with a practice address in Evanston, Illinois, and NPI 1609624006, issued on May 9, 2024. Check the license (Illinois 085010441, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Khaunsavan Vongphakdy
- Credential
- PA
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 085010441 IL
Self-reported in NPPES; status is on the state search - Practice location
- 2650 Ridge Ave, Evanston, IL 60201
- Phone
- (847) 570-2000
- Enumerated
- May 9, 2024
- Record last updated
- May 13, 2024
- Medicare enrollment
- Enrolled (PECOS I20240527000318); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 599 in Illinois → Look up another NPI →
Also registered at 2650 Ridge Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Eman Abdel-Latief, M.D.Hospitalist Physician1508229949
- Helane Abramowitz, LCSWClinical Social Worker1376600684
- Kyle Ackerman, MDEmergency Medicine Physician1477170199
- Adrienne Adams, M.D.Child & Adolescent Psychiatry Physician1578661781
- Mary Adams, MDPediatrics Physician1134201205
- Isaac Agboola, MDEmergency Medicine Physician1073018289
Verify Khaunsavan Vongphakdy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 085010441Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Endeavor Health Medical GroupEvanston, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Khaunsavan Vongphakdy among 599 surgical physician assistant records in Illinois
Khaunsavan Vongphakdy, PA is one of 599 surgical physician assistant records with a practice address in Illinois. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 85% of them.
- NPI issued2024 · 85% of these records are older, 6% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2023 · median 2016 among the 378 with a school on file
- Record last updated2024 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
48 surgical physician assistant records list a practice address in Evanston
They are 48 of the 4,013 NPPES records with a practice address in Evanston, and 599 surgical physician assistant records in Illinois.
All 599 in Illinois → Every provider in Evanston → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Anita Alexander, PAEvanston, IL 602011700087368
- Amy Brophy, PAEvanston, IL 602011366653966
- Laurie Farrell, PA-CEvanston, IL 602011588792782
- Sahar HartsockEvanston, IL 602011184857492
- Chad Keller, PAEvanston, IL 602011487875209
- Mary King, PAEvanston, IL 602011154522274
- Robert Lorenz, PA-CEvanston, IL 602011962483123
- Ami Mikhail, PAEvanston, IL 602011679774731
Common questions
What is Khaunsavan Vongphakdy, PA's NPI number?
Khaunsavan Vongphakdy, PA's National Provider Identifier (NPI) is 1609624006, issued on May 9, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Khaunsavan Vongphakdy, PA located?
The NPPES record lists a practice address at 2650 Ridge Ave, Evanston, IL, 60201. Phone: (847) 570-2000. Providers update this record themselves, so call before visiting.
How can I verify Khaunsavan Vongphakdy, PA's license?
NPPES lists Illinois license number 085010441, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.