Individual provider Active NPI

Sivakami Krishnan, MD

  • Family Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1174812374
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036135382 Issued in IL
Practice address
133 E Brush Hill Rd
Elmhurst, IL 60126-5659
Phone
(630) 279-8771
Fax
(630) 348-3078
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036135382 IL Primary

Addresses

Primary practice location

133 E Brush Hill Rd
Elmhurst, IL 60126-5659

Mailing address

Pob 7132960
Chicago, IL 60677-0001
Phone (630) 469-9200

Other practice location 1

1100 Lake St Ste 230
Oak Park, IL 60301-1095
Phone (331) 221-9001

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skrishnan44097@direct.edward.org Direct
Direct Messaging Address skrishnan301899@dulyhealthandcare.direct-ci.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140924002216 IL Practitioner - Family Practice 7315166303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

133 E Brush Hill Rd
Suite 100
Elmhurst, IL 60126-5660
Phone (630) 501-0630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036135382ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Dupage Medical Group LTD CurrentSince May 8, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince May 8, 2025 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Sep 1, 2014 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Sep 1, 2014 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

9532 Eagle Way
Chicago, IL 60678

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

133 E Brush Hill Rd
Ste 100
Elmhurst, IL 60126
Phone (630) 501-0630

133 E Brush Hill Rd
Elmhurst, IL 60126
Phone (630) 279-8771

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

1100 Lake St
Ste 230
Oak Park, IL 60301
Phone (331) 221-9244

4201 Winfield Rd
Fl 4
Warrenville, IL 60555

Organizations & group practices 6

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 1

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1174812374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 7132960",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265659",
            "telephone_number": "630-279-8771",
            "fax_number": "630-348-3078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011095",
            "country_code": "US",
            "telephone_number": "331-221-9001",
            "fax_number": "331-221-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "SIVAKAMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036135382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skrishnan44097@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Lake St Ste 230",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603011095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skrishnan301899@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "133 E Brush Hill Rd",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.