Organization Active NPI

Uday I Vyas MD SC

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1104012061
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
UDAY I VYAS MD SC
Practice address
7101 W Higgins Ave
Chicago, IL 60656-1903
Phone
(773) 792-9111
Fax
(773) 792-9119
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Uday Vyas, MDNPI 1700851656
Title
President
Phone
(773) 792-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

7101 W Higgins Ave
Chicago, IL 60656-1903

Mailing address

7101 W Higgins Ave
Chicago, IL 60656-1903
Phone (773) 792-9111

Other identifiers 1

IdentifierTypeStateIssuer
712090OtherILMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000425 IL Part B Supplier - Clinic/Group Practice 8123109865 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

7101 W Higgins Ave
Chicago, IL 60656
Phone (773) 763-6260

2913 N Commonwealth Ave
Bldg 5TH
Chicago, IL 60657
Phone (773) 665-3864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1104012061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561903",
            "telephone_number": "773-792-9111",
            "fax_number": "773-792-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561903",
            "telephone_number": "773-792-9111",
            "fax_number": "773-792-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDAY I VYAS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-792-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "712090",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.