Individual provider Active NPI

Ambalavanan Arunachalam, M.D

  • Pulmonary Disease Physician
  • Chicago, IL
National Provider Identifier
1073868154
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036152826 Issued in IL
Practice address
675 N Saint Clair St Ste 18-250
Chicago, IL 60611-5980
Phone
(312) 695-1800
Fax
(312) 695-4741
NPI assigned
Jul 16, 2012
Last updated
May 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036152826 IL Primary

Addresses

Primary practice location

675 N Saint Clair St Ste 18-250
Chicago, IL 60611-5980

Mailing address

675 N Saint Clair St Ste 18-250
Chicago, IL 60611-5980
Phone (312) 695-1800

Other practice location 1

676 N Saint Clair St Ste 14-044
Chicago, IL 60611-2927
Phone (312) 908-8163

Other practice location 2

25 N Winfield Rd Ste 204
Winfield, IL 60190-1379
Phone (630) 232-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200723002745 IL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9739436932 Reassigns benefits to 2 organizations
I20260513000681 AL Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9739436932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy Hospitalist Partners LLCGroup PAC ID 1557876778, 5 clinicians
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150

25 N Winfield Rd
Winfield, IL 60190-1295
Phone (630) 232-0202

675 N St Clair
200 Dept of Internal Med
Chicago, IL 60611-5975
Phone (312) 695-8630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152826ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince May 13, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients
Central Dupage Physician Group CurrentSince May 13, 2023 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

4445 W Irving Park Rd
Ste 310
Chicago, IL 60641

675 N Saint Clair St
Ste 18-250
Chicago, IL 60611
Phone (312) 695-8624

676 N Saint Clair St
Ste 14044
Chicago, IL 60611
Phone (312) 908-8163

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Ste 204
Winfield, IL 60190
Phone (630) 232-0202

Interoperability endpoints

  • Direct secure messaging: aarunachalam111713@direct.metrohealth.org

Organizations & group practices 6

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 7

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1073868154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST STE 18-250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115980",
            "telephone_number": "312-695-1800",
            "fax_number": "312-695-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST STE 18-250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115980",
            "telephone_number": "312-695-1800",
            "fax_number": "312-695-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 14-044",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112927",
            "country_code": "US",
            "telephone_number": "312-908-8163",
            "fax_number": "312-695-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-232-0202",
            "fax_number": "630-690-2293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARUNACHALAM",
        "first_name": "AMBALAVANAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036152826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.