Active NPI
Amrik Sivakam Ray, M.D.
- Pulmonary Disease Physician
- Elk Grove Village, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036148097
- Practice address
- 800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367 - Phone
- (847) 981-3660
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036148097 | IL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036148097 | IL |
Addresses
Primary practice location
800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367
Mailing address
800 Biesterfield Rd Ste 510
Elk Grove Village, IL 60007-3367
Phone (847) 981-3660
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sublung@380.direct.myezyaccess.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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Wisconsin School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800
2222 W Division St
Chicago, IL 60622-3096
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000
2845 N Sheridan Rd
Chicago, IL 60657-7227
2900 N Lake Shore Dr
Chicago, IL 60657-5640
331 W Surf St
Chicago, IL 60657-7227
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036148097 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Presence Healthcare Services | Current | Accepting new patients | |
| Alexian Brothers Medical Care Group NFP | Internal Medicine | Current | Accepting new patients |
| Alexian Brothers Medical Care Group NFP | Critical Care Medicine | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1614 W Central Rd
Ste 105
Arlington Hts, IL 60005
Phone (847) 255-9697
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
62311 Collection Ctr Dr
Chicago, IL 60693
2222 W Division St
Chicago, IL 60622
Phone (312) 770-3908
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
800 Biesterfield Rd
Ste 510
Elk Grove Vlg, IL 60007
Phone (847) 981-3360
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
9669 Kenton Ave
Ste 300
Skokie, IL 60076
Phone (847) 674-6633
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Organizations & group practices 4
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.
-
dba Presence Medical Group
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
Internal Medicine
-
dba Suburban Lung
- Pulmonary Disease Physician
- Elk Grove Village, IL
- NPI 1518420413
Critical Care Medicine
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1770989584
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presence Saint Joseph Hospital-Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1114283041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD STE 510",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073367",
"telephone_number": "847-981-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD STE 510",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073367",
"telephone_number": "847-981-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "AMRIK",
"middle_name": "SIVAKAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036148097",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036148097",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sublung@380.direct.myezyaccess.com",
"affiliation": "N",
"address_1": "800 Biesterfield Rd Ste 510",
"city": "Elk Grove Village",
"state": "IL",
"country_code": "US",
"postal_code": "600073367",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.