Individual provider Active NPI

Amee Majmundar, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Orland Park, IL
National Provider Identifier
1093794620
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
036112759 Issued in IL
Practice address
16660 S. 107TH Ave.
Orland Park, IL 60467
Phone
(708) 403-8500
NPI assigned
Jan 12, 2006
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 036112759 IL Primary

Addresses

Primary practice location

16660 S. 107TH Ave.
Orland Park, IL 60467

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 2

IdentifierTypeStateIssuer
036112759MedicaidIL
01635439OtherILBLUE CROSS/SHIELD PPO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amajmundar117873@direct.edward.org
Direct Messaging Address amajmundar117873@dulyhealthandcare.direct-ci.com

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
I20050921000702 IL Practitioner - Allergy/ImmunologyPractitioner - Dermatology 9032143847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Dermatology
Education
University of Chicago, Pritzker School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

2320 High St
Blue Island, IL 60406-2426
Phone (708) 388-5500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince May 1, 2016 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2016 Accepting new patients

Locations

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

2320 High St
Blue Island, IL 60406
Phone (708) 226-7000

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

1890 Silver Cross Blvd
Ste 345
New Lenox, IL 60451
Phone (815) 462-9300

15300 West Ave
Ste 204
Orland Park, IL 60462
Phone (708) 460-7355

16660 107th St
Orland Park, IL 60467
Phone (708) 364-3237

Interoperability endpoints

  • Direct secure messaging: amajmundar117873@direct.edward.org
  • Direct secure messaging: amajmundar117873@dulyhealthandcare.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1093794620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16660 S. 107TH AVE.",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-403-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJMUNDAR",
        "first_name": "AMEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "036112759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112759",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD PPO",
            "identifier": "01635439",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amajmundar117873@direct.edward.org",
            "affiliation": "N",
            "address_1": "16660 S. 107th Ave.",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amajmundar117873@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "16660 S. 107th Ave.",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.