Individual provider Active NPI

Navya Madamala, MD

  • Internal Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1043402472
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036117798 Issued in IL
Practice address
15 Salt Creek LN
Suite 111, Ipc
Hinsdale, IL 60521-2926
Phone
(630) 371-0133
NPI assigned
Aug 9, 2007
Last updated
Aug 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A106375 CA
Internal Medicine Physician 207R00000X 036117798 IL Primary

Addresses

Primary practice location

15 Salt Creek LN
Suite 111, Ipc
Hinsdale, IL 60521-2926

Mailing address

15 Salt Creek LN
Suite 111, Ipc
Hinsdale, IL 60521-2926
Phone (630) 371-0133

Other identifiers 2

IdentifierTypeStateIssuer
1043402472OtherCAKAISER PERMANENTE
1043402472OtherILNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1043402472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 111, IPC",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-371-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 111, IPC",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-371-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAMALA",
        "first_name": "NAVYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "1043402472",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043402472",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.