Individual provider Active NPI

Rita Pamela Saldanha, M.D.

  • Internal Medicine Physician
  • Hazel Crest, IL
National Provider Identifier
1073560512
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036095144 Issued in IL
Practice address
17680 Kedzie Ave Ste 201
Hazel Crest, IL 60429-2088
Phone
(708) 799-9500
Fax
(708) 799-9555
NPI assigned
May 30, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036095144 IL Primary

Addresses

Primary practice location

17680 Kedzie Ave Ste 201
Hazel Crest, IL 60429-2088

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (847) 699-0800

Other identifiers 3

IdentifierTypeStateIssuer
1625963OtherILBC/BS
036095144MedicaidIL
14D1011370OtherILCLIA

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
I20040121001078 IL Practitioner - Internal Medicine 3870491954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medplus, S.C.Group PAC ID 0749188928, 3 clinicians

Practice addresses (Care Compare)

17680 Kedzie Ave
Suite 201
Hazel Crest, IL 60429-2088
Phone (708) 799-9500

2233 W Division St
Chicago, IL 60622-3043
Phone (312) 770-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medplus Medical Center SC Internal Medicine CurrentSince Mar 12, 2015 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 25, 2019 Accepting new patients
Medplus, S.C. Internal Medicine CurrentSince Mar 15, 2002 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 25, 2019 Accepting new patients
Midwest Anesthesia and Pain Specialists SC Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

8700 S Dante Ave
Chicago, IL 60619
Phone (773) 221-3900

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 482-5800

9680 Golf Rd
Fl 2
Des Plaines, IL 60016
Phone (708) 987-3795

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

17680 Kedzie Ave
Ste 201
Hazel Crest, IL 60429
Phone (708) 799-2499

17850 Kedzie Ave
Ste 2200
Hazel Crest, IL 60429
Phone (708) 396-9777

2500 W Higgins Rd
Ste 400
Hoffman Estates, IL 60169
Phone (847) 490-6817

1020 E Ogden Ave
Ste 309
Naperville, IL 60563
Phone (630) 305-9774

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFGJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFGJAA/Endpoint/GFGJAA
  • Direct secure messaging: rita.saldanha@medsc.eclinicaldirectplus.com

Organizations & group practices 5

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 4

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1073560512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "847-699-0800",
            "fax_number": "847-296-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17680 KEDZIE AVE STE 201",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292088",
            "telephone_number": "708-799-9500",
            "fax_number": "708-799-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDANHA",
        "first_name": "RITA",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1625963",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095144",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1011370",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.