Individual provider Active NPI

Madhu Bala Guliani, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1073613378
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036062955 Issued in IL
Practice address
5140 N California Ave Ste 630
Chicago, IL 60625-7066
Phone
(773) 728-0929
Fax
(773) 728-3524
NPI assigned
Sep 25, 2006
Last updated
Mar 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036062955 IL Primary

Addresses

Primary practice location

5140 N California Ave Ste 630
Chicago, IL 60625-7066

Mailing address

5140 N California Ave Ste 630
Chicago, IL 60625-7066
Phone (773) 728-0929

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
I20090225000204 IL Practitioner - Internal Medicine 3173689262

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1073613378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE STE 630",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257066",
            "telephone_number": "773-728-0929",
            "fax_number": "773-728-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE STE 630",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257066",
            "telephone_number": "773-728-0929",
            "fax_number": "773-728-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULIANI",
        "first_name": "MADHU",
        "middle_name": "BALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036062955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.