NPIMap

Individual provider Active NPI

Veena Nadkarni, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Crest Hill, IL
National Provider Identifier
1124090931
Registry record updated Apr 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036-097480 Issued in IL
Practice address
2222 Weber Rd
Crest Hill, IL 60403-0928
Phone
(815) 741-9714
Fax
(815) 744-5137
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-097480 IL Primary

Addresses

Primary practice location

2222 Weber Rd
Crest Hill, IL 60403-0928

Mailing address

2222 Weber Rd
Crest Hill, IL 60435-0928
Phone (815) 741-9714

Other identifiers 1

IdentifierTypeStateIssuer
036097480MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000591 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 5193996445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Endocrinology Consultants IncGroup PAC ID 8921279274, 2 clinicians

Practice addresses (Care Compare)

2222 Weber Rd
Crest Hill, IL 60403-0928
Phone (815) 741-9714

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-097480ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Endocrinology Current Accepting new patients
Northeast Endocrinology Consultants, Inc Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2011 Accepting new patients
Northeast Nephrology Consultants Past Accepting new patients

Locations

2222 Weber Rd
Crest Hill, IL 60403
Phone (815) 741-9714

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHBCD

Organizations & group practices 3

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1124090931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604350928",
            "telephone_number": "815-741-9714",
            "fax_number": "815-744-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030928",
            "telephone_number": "815-741-9714",
            "fax_number": "815-744-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADKARNI",
        "first_name": "VEENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-097480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097480",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.