Organization Active NPI

Trichinapally S Neelakantam MD S C

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1124002290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRICHINAPALLY S NEELAKANTAM MD S C
Practice address
1240 N Highland Ave
Suite 22
Aurora, IL 60506-1450
Phone
(630) 844-1818
Fax
(630) 844-1429
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Trichniapally S Neelakantam, MD
Title
President
Phone
(630) 844-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

1240 N Highland Ave
Suite 22
Aurora, IL 60506-1450

Mailing address

1240 N Highland Ave
Suite 22
Aurora, IL 60506-1450
Phone (630) 844-1818

National Provider Directory

National Provider Directory

Locations

1240 N Highland Ave
Ste 22
Aurora, IL 60506
Phone (312) 844-1818

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124002290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N HIGHLAND AVE",
            "address_2": "SUITE 22",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061450",
            "telephone_number": "630-844-1818",
            "fax_number": "630-844-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HIGHLAND AVE",
            "address_2": "SUITE 22",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061450",
            "telephone_number": "630-844-1818",
            "fax_number": "630-844-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICHINAPALLY S NEELAKANTAM MD S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEELAKANTAM",
        "authorized_official_first_name": "TRICHNIAPALLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-844-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.