Mountsinai Hospital

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MOUNTSINAI HOSPITAL

Practice address

1500 S California Ave
Chicago, IL 60608-1729

Phone

(773) 257-6183

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Radhika Dasaraju, M.D

Title

Pgy-2

Phone

(309) 660-1837

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1083861926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081729",
            "telephone_number": "773-257-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081729",
            "telephone_number": "773-257-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTSINAI HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "DASARAJU",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "PGY-2",
        "authorized_official_telephone_number": "309-660-1837",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai Medical Center
• Mountain of Change Counseling and Psychological Services PLLC
• Mountain Plus LLC
• Joseph Mountain, PA-C
• Mountsinai Community Foundation
• Amy Mourad, LPC
• Yusra Moursy
• Peter Hanna Halim Mousa, MD
• Barbara Lynn Mousel, DDS
• Thomas Michael Moushey

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.