Individual provider Active NPI

Nisha Dsilva, D.O.

  • Rheumatology Physician
  • Naperville, IL
National Provider Identifier
1043551500
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036-146805 Issued in IL
Practice address
10 Martin Ave Ste 140
Naperville, IL 60540
Phone
(630) 961-2810
Fax
(630) 961-2658
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036-146805 IL Primary

Addresses

Primary practice location

10 Martin Ave Ste 140
Naperville, IL 60540

Mailing address

10 Martin Ave Ste 140
Naperville, IL 60540-6538
Phone (630) 961-2810

Other practice location 1

24600 W 127th St Ste 215
Plainfield, IL 60585-9507
Phone (630) 961-2810

Other names 1

  • Nisha Kalathiveetil Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndsilva179771@direct.edward.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926001487 IL Practitioner - Rheumatology 1153619960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Midwestern University, Chicago College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1220 Hobson Rd
Suite 104
Naperville, IL 60540-8137
Phone (630) 416-1950

24600 W 127TH St
Plainfield, IL 60585-9507

2650 Ridge Ave
Evanston, IL 60201-1700

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-146805ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Sep 10, 2018 Accepting new patients
Edward Health Ventures CurrentSince Sep 10, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 20, 2023 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

10 Martin Ave
Ste 40
Naperville, IL 60540
Phone (630) 961-2810

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Naperville, IL 60540
Phone (630) 527-5575

1220 Hobson Rd
Naperville, IL 60540
Phone (630) 416-3300

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

1220 Hobson Rd
Ste 104
Naperville, IL 60540
Phone (630) 416-1950

24600 W 127th St
Ste B125
Plainfield, IL 60585
Phone (815) 267-3400

24600 W 127th St
Ste 215
Plainfield, IL 60585
Phone (630) 355-5668

Interoperability endpoints

  • Direct secure messaging: ndsilva179771@direct.edward.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1043551500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 140",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406538",
            "telephone_number": "630-961-2810",
            "fax_number": "630-961-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 140",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-961-2810",
            "fax_number": "630-961-2658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24600 W 127th St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605859507",
            "country_code": "US",
            "telephone_number": "630-961-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DSILVA",
        "first_name": "NISHA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036-146805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndsilva179771@direct.edward.org",
            "affiliation": "N",
            "endpointDescription": "ndsilva179771@direct.edward.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ndsilva179771@direct.edward.org",
            "address_1": "10 Martin Ave Ste 140",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NISHA",
            "last_name": "KALATHIVEETIL",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.