Individual provider Active NPI

Seshank Arimilli

  • Infectious Disease Physician
  • Maywood, IL
National Provider Identifier
1053773044
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.148916 Issued in IL
Practice address
2160 S 1St Ave BLDG 1027609
Maywood, IL 60153-3328
Phone
(708) 216-6497
Fax
(708) 216-6890
NPI assigned
Mar 28, 2016
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036.148916 IL Primary

Addresses

Primary practice location

2160 S 1St Ave BLDG 1027609
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave BLDG 1027609
Maywood, IL 60153-3328
Phone (708) 216-6497

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sarimilli313102@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20210422000985 IL Practitioner - Internal Medicine 9234499104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Infectious Disease and Internal Medicine S CGroup PAC ID 3779555362, 11 clinicians

Practice addresses (Care Compare)

7804 W College Dr
Palos Heights, IL 60463-1025
Phone (708) 361-5778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.85 of 100Reported as individual
Quality
63.67
Improvement activities
0
Cost
70.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036.148916ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Infectious Disease & Internal Medicine S C Infectious Disease CurrentSince Jan 13, 2021 Accepting new patients
John V. Kelly MD, PC PastSince Jan 13, 2021 Accepting new patients
Id Associates Limited Infectious Disease Past Accepting new patients

Locations

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

7804 W College Dr
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Ste 1N
Palos Heights, IL 60463
Phone (708) 361-5778

7804 W College Dr
Ste 1NW
Palos Heights, IL 60463
Phone (708) 361-5778

Interoperability endpoints

  • Direct secure messaging: sarimillimd235340@uchospital.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 5

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1053773044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE BLDG 1027609",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-6497",
            "fax_number": "708-216-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE BLDG 1027609",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-6497",
            "fax_number": "708-216-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIMILLI",
        "first_name": "SESHANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.148916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarimilli313102@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave Bldg 1027609",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2160 S 1st Ave Bldg 1027609",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.