Active NPI
Neelam Narula, M.D.,
- Pediatrics Physician
- Algonquin, IL
National Provider Identifier
1205815545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036064770
- Practice address
- 2971 W Algonquin Rd
Suite 105
Algonquin, IL 60102-9406 - Phone
- (847) 854-5490
- Fax
- (847) 854-8257
- NPI assigned
- Jan 14, 2006
- Last updated
- Dec 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036064770 | IL | Primary |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 036064770 | IL |
Addresses
Primary practice location
2971 W Algonquin Rd
Suite 105
Algonquin, IL 60102-9406
Mailing address
2971 W Algonquin Rd
Suite 105
Algonquin, IL 60102-9406
Phone (847) 854-5490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036064770 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nnarula282784@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036064770 | IL | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neelam Narula MD | Pediatrics | Current | Accepting new patients |
Locations
2971 W Algonquin Rd
Ste 105
Algonquin, IL 60102
Phone (847) 854-5490
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1205815545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2971 W ALGONQUIN RD",
"address_2": "SUITE 105",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601029406",
"telephone_number": "847-854-5490",
"fax_number": "847-854-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2971 W ALGONQUIN RD",
"address_2": "SUITE 105",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601029406",
"telephone_number": "847-854-5490",
"fax_number": "847-854-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARULA",
"first_name": "NEELAM",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-14",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036064770",
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "IL",
"license": "036064770",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064770",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nnarula282784@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2971 W Algonquin Rd",
"address_2": "Suite 105",
"city": "Algonquin",
"state": "IL",
"country_code": "US",
"postal_code": "601029406",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2971 W Algonquin Rd",
"address_2": "Suite 105",
"city": "Algonquin",
"state": "IL",
"country_code": "US",
"postal_code": "601029406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.