Active NPI
Parag Arvind Madhani, MD
- Cardiovascular Disease Physician
- Marion, IL
National Provider Identifier
1174517114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036092572
- Practice address
- 3331 W Deyoung St
Suite 100
Marion, IL 62959-5896 - Phone
- (618) 998-7600
- Fax
- (618) 997-6680
- NPI assigned
- Sep 6, 2005
- Last updated
- Jan 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036092572 | IL | Primary |
Addresses
Primary practice location
3331 W Deyoung St
Suite 100
Marion, IL 62959-5896
Mailing address
3331 W Deyoung St
Suite 100
Marion, IL 62959-5896
Phone (618) 998-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092572 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092572 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River to River Heart Group, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Memorial Management Inc | Past | Accepting new patients | |
| Memorial Management Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1720087950
-
- Internal Medicine Physician
- Marion, IL
- NPI 1336168491
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1174517114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 W DEYOUNG ST",
"address_2": "SUITE 100",
"city": "MARION",
"state": "IL",
"postal_code": "629595896",
"telephone_number": "618-998-7600",
"fax_number": "618-997-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 W DEYOUNG ST",
"address_2": "SUITE 100",
"city": "MARION",
"state": "IL",
"postal_code": "629595896",
"telephone_number": "618-998-7600",
"fax_number": "618-997-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADHANI",
"first_name": "PARAG",
"middle_name": "ARVIND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036092572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092572",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.