Individual provider Active NPI

Ronnie Ranjan Mandal, D.O,MBA,MS,MT(ASCP)

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1104002872
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036119779 Issued in IL
Practice address
2740 W Foster Ave Ste 101
Chicago, IL 60625-3547
Phone
(773) 545-9500
Fax
(773) 961-8339
NPI assigned
Jan 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 036119779 IL Primary

Addresses

Primary practice location

2740 W Foster Ave Ste 101
Chicago, IL 60625-3547

Mailing address

2740 W Foster Ave Ste 101
Chicago, IL 60625-3547
Phone (773) 545-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20080721000093 IL Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Hospitalist 0244303543 Reassigns benefits to 3 organizations
I20231013001036 IN Practitioner - Internal Medicine 0244303543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

2740 W Foster Ave
Suite 101
Chicago, IL 60625-3547
Phone (773) 545-9500

Hospital & facility affiliations

  • O & P Home Health Care, Inc Home health agency, Skokie, IL, CCN 147812
  • Family Home Health Services, Inc Home health agency, Addison, IL, CCN 147712
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Harmony Healthcare & Rehab Ctr Nursing home, Chicago, IL, CCN 145775
  • Alta Rehab at Fairmont Nursing home, Chicago, IL, CCN 145867

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration, Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ronnie Mandal DO, SC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 30, 2020 Accepting new patients
Vitae Health Medical Indiana LLC Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. Internal Medicine CurrentSince Nov 13, 2016 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Nov 13, 2016 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Oct 30, 2020 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

2740 W Foster Ave
Ste 101
Chicago, IL 60625
Phone (773) 334-3431

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

5115 N Francisco Ave
Fl 1
Chicago, IL 60625
Phone (773) 271-6622

2740 W Foster Ave
Ste 103
Chicago, IL 60625
Phone (773) 271-6622

9532 Eagle Way
Chicago, IL 60678

5115 N Francisco Ave
#1
Chicago, IL 60625

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

251 E Huron St
Chicago, IL 60611

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 4210
Evanston, IL 60201
Phone (847) 570-1010

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

10352 N 600 E
Demotte, IN 46310
Phone (219) 345-5211

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harmony Healthcare & Rehabilitation CenterChicago, IL, CCN 145775 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 14, 2023
Dec 14, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1104002872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253547",
            "telephone_number": "773-545-9500",
            "fax_number": "773-961-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253547",
            "telephone_number": "773-545-9500",
            "fax_number": "773-961-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAL",
        "first_name": "RONNIE",
        "middle_name": "RANJAN",
        "name_prefix": "Dr.",
        "credential": "D.O,MBA,MS,MT(ASCP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-12",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036119779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.