Organization Active NPI

Soumya Health, LLC

  • Internal Medicine Physician
  • Willowbrook, IL
National Provider Identifier
1194912097
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-099711 Issued in IL
Legal business name
SOUMYA HEALTH, LLC
Practice address
621 Plainfield Rd
Suite 107
Willowbrook, IL 60527-5343
Phone
(847) 924-0299
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mrs. Jyothi Yallapragada
Title
Operations Manager
Phone
(312) 404-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036-099711 IL Primary

Addresses

Primary practice location

621 Plainfield Rd
Suite 107
Willowbrook, IL 60527-5343

Mailing address

6120 S Elm St
Burr Ridge, IL 60527-5226
Phone (630) 323-8595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071116000559 IL Part B Supplier - Clinic/Group Practice 4183712698 Receives reassigned benefits from 1 practitioner
Practice locations: Lombard, IL; Willowbrook, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1194912097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S ELM ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275226",
            "telephone_number": "630-323-8595",
            "fax_number": "630-735-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD",
            "address_2": "SUITE 107",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275343",
            "telephone_number": "847-924-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUMYA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "YALLAPRAGADA",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "312-404-6633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-099711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.