Individual provider Active NPI

Neelam Narula, M.D.,

  • Pediatrics Physician
  • Algonquin, IL
National Provider Identifier
1205815545
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036064770 Issued in IL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036064770MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
036064770ILMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.