Individual provider Active NPI

Seema Pillai, NP

  • Family Nurse Practitioner
  • Elmwood Park, IL
National Provider Identifier
1013395482
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012331 Issued in IL
Practice address
1950 N. Harlem Ave.
Suburban Surgery Center
Elmwood Park, IL 60707-3717
Phone
(708) 453-6800
Fax
(708) 453-3985
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012331 IL Primary

Addresses

Primary practice location

1950 N. Harlem Ave.
Suburban Surgery Center
Elmwood Park, IL 60707-3717

Mailing address

1950 N. Harlem Ave.
Suburban Surgery Center
Elmwood Park, IL 60707-3717
Phone (708) 453-6800

Other identifiers 2

IdentifierTypeStateIssuer
041347240MedicaidIL
F400285420OtherILMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211000469 IL Practitioner - Nurse Practitioner 7517261555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiesenga Surgical Associates SCGroup PAC ID 5597750901, 7 clinicians

Practice addresses (Care Compare)

1950 N Harlem Ave
Elmwood Park, IL 60707-3717
Phone (708) 453-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209012331ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tiesenga Surgical Associates, S.C. CurrentSince Apr 11, 2016 Accepting new patients
Oakton Health Center SC CurrentSince Jan 11, 2016 Accepting new patients
Pillai & Ganesan PLLC Family Current Accepting new patients
Barrington Primary and Urgent Care Family Current Accepting new patients

Locations

1950 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 453-6800

4860 Oakton St
Skokie, IL 60077
Phone (847) 215-8666

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJBCA
  • Direct secure messaging: seema.pillai.1@6699.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6699/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1013395482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 N. HARLEM AVE.",
            "address_2": "SUBURBAN SURGERY CENTER",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073717",
            "telephone_number": "708-453-6800",
            "fax_number": "708-453-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 N. HARLEM AVE.",
            "address_2": "SUBURBAN SURGERY CENTER",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073717",
            "telephone_number": "708-453-6800",
            "fax_number": "708-453-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAI",
        "first_name": "SEEMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041347240",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400285420",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

Verify at the official NPI Registry.