Reeja Robert Puthenveetil, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209029320 Issued in IL

Practice address

2340 S Highland Ave Ste 230
Lombard, IL 60148-5374

Phone

(630) 932-2040

Fax

(630) 932-1513

NPI assigned

Dec 15, 2023

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chest & Sleep Medicine Associates S.C.

  • Pulmonary Disease Physician
  • Libertyville, IL
  • NPI 1780604116
  Medicare reassignment NPD
• Midwest Pulmonary Associates S.C.

  • Internal Medicine Physician
  • Lombard, IL
  • NPI 1790743417
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1184492548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE STE 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485374",
            "telephone_number": "630-932-2040",
            "fax_number": "630-932-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE STE 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485374",
            "telephone_number": "630-932-2040",
            "fax_number": "630-932-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHENVEETIL",
        "first_name": "REEJA",
        "middle_name": "ROBERT",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Puente, LPC
• Christine Mary Pullia
• Isabella Pullman
• Kathleen Pumo
• Pure IV Solutions PLLC
• Madiha Qadri
• Syed Hamza Rasool Quadri
• Syeda Quadri, DO
• William Quealy, PA-S
• Vanessa Quiroz, RD, LDN, CLS

• Family Nurse Practitioner in Lombard, IL
• Providers in Lombard, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.