Individual provider Active NPI

Manjari Ranganathan, MD

  • Family Medicine Physician
  • Lombard, IL
National Provider Identifier
1174903793
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036144117 Issued in IL
Practice address
2050 S Finley Rd
Lombard, IL 60148-4837
Phone
(630) 819-5600
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 036144117 IL Primary

Addresses

Primary practice location

2050 S Finley Rd
Lombard, IL 60148-4837

Mailing address

2050 S Finley Rd
Lombard, IL 60148-4837
Phone (630) 819-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mranganathan200305@dulyhealthandcare.direct-ci.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821002916 IL Practitioner - Family Practice 5092089763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

2050 S Finley Rd
Lombard, IL 60148-4837
Phone (630) 819-5600

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144117ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Organizations & group practices 2

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 7

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1174903793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S FINLEY RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484837",
            "telephone_number": "630-819-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S FINLEY RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484837",
            "telephone_number": "630-819-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGANATHAN",
        "first_name": "MANJARI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mranganathan200305@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "1206 E 9th St",
            "city": "Lockport",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604412404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.