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Deactivated NPI 1629696752 Deactivated / Inactive NPI Female Practitioner

Disha Japa

Physician Assistant • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available
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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Disha Japa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2020
NPI Deactivation Date October 28, 2025
Total Practice Duration ~1 Years of Practice (2025 – 2025)

Professional Overview & Biography Verified Profile Summary

Disha Japa was a registered Physician Assistant in Chicago, IL. Prior to record deactivation on 2025-10-28, Disha Japa completed approximately 1 years of clinical practice following graduation from Mid West Medical College in 2025.

Disha Japa was affiliated with I2 Medicine Llc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Practice Location & Contact Primary Location

Practice Address

939 W North Ave Ste 650

Chicago, IL 606428684

Telephone 7733778000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Mid West Medical College

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.8 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Japa (1 Years) 1 Yrs
Chicago Specialty Average (7.8 Years) 7.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

I2 Medicine Llc

939 W N Ave, Chicago, IL 606428684

Phone: 7733778000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Emily Daley , PA-C

Physician Assistant

NPI 1003388927

Physician Assistant (Certified)

NPI 1275166886

Licensed Dietitian Nutritionist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location November 20, 2025

Registered at 939 W NORTH AVE STE 650, CHICAGO, IL 606428684 (Tel: 7733778000)

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Updated Business Mailing Address November 20, 2025

Registered at 939 W NORTH AVE STE 650, CHICAGO, IL 606428684 (Tel: 7733778000)

👤
Provider Name / Credentials Updated November 20, 2025

Recorded as DISHA JAPA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2025

Physician Assistant

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NPI Profile Deactivated October 28, 2025

Record deactivated on October 28, 2025

NPI Profile Active July 10, 2020

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2020

Registered at 4201 DEAN LAKES BLVD, SHAKOPEE, MN 553792829 (Tel: 5073227752)

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Updated Business Mailing Address July 10, 2020

Registered at 4201 DEAN LAKES BLVD, SHAKOPEE, MN 553792829 (Tel: 5073227752)

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Provider Name / Credentials Updated July 10, 2020

Recorded as DISHA JAPA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2020

Technician, Other

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Initial NPI Registration & Enumeration July 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629696752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2020
Last Update: November 20, 2025
Deactivation Date: October 28, 2025
Sole Proprietor: No

Mailing Address

939 W North Ave Ste 650

Chicago, IL 606428684

Phone: 7733778000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.