Individual provider Active NPI

Sejal Kalawadia, MD

  • Nephrology Physician
  • Crestwood, IL
National Provider Identifier
1194722108
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036096965 Issued in IL
Practice address
13755 Cicero Ave
Crestwood, IL 60418-1824
Phone
(708) 388-0499
Fax
(708) 388-0283
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036096965 IL Primary

Addresses

Primary practice location

13755 Cicero Ave
Crestwood, IL 60418-1824

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other identifiers 1

IdentifierTypeStateIssuer
036096965MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address skalawadia278442@direct.myadvocateaurora.org 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
I20100130000015 IL Practitioner - Nephrology 4880588920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Illinois LTDGroup PAC ID 2163328675, 117 clinicians

Practice addresses (Care Compare)

12250 S Cicero Ave
Suite 112
Alsip, IL 60803-2946
Phone (708) 371-5308

13755 Cicero Ave
Crestwood, IL 60418-1824
Phone (708) 388-0499

2701 W 68TH St
Suite 417
Chicago, IL 60629-1813
Phone (773) 735-4884

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

Hospital & facility affiliations

  • FMC - Alsip Dialysis Center Dialysis facility, Alsip, IL, CCN 142630
  • FMC - Blue Island Dialysis Center Dialysis facility, Blue Island, IL, CCN 142539
  • Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • St Bernard Hospital Hospital, Chicago, IL, CCN 140103
  • Holy Cross Hospital Hospital, Chicago, IL, CCN 140133
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • South Shore Hospital Hospital, Chicago, IL, CCN 140181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096965ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Park Hospital Foundation Current Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Sep 4, 2000 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Sep 4, 2000 Accepting new patients

Locations

2310 York St
Ste 3B
Blue Island, IL 60406
Phone (708) 388-0499

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

13755 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-2400

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

71 W 156th St
Ste 108
Harvey, IL 60426
Phone (708) 388-0499

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

855 Madison St
Oak Park, IL 60302
Phone (708) 386-1000

Interoperability endpoints

  • Direct secure messaging: skalawadia278442@direct.myadvocateaurora.org
  • Direct secure messaging: skalawadia49659@direct.acumenmd.com
  • Direct secure messaging: sejaikalawadia@jph.medalliesdirect.net

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 10

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1194722108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13755 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181824",
            "telephone_number": "708-388-0499",
            "fax_number": "708-388-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAWADIA",
        "first_name": "SEJAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036096965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096965",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "13755 Cicero Ave",
            "city": "Crestwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604181824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skalawadia278442@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13755 Cicero Ave",
            "city": "Crestwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604181824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

Verify at the official NPI Registry.