Active NPI
Chitra Srinivasan Madhavan, M.D
- Hematology & Oncology Physician
- Aurora, IL
National Provider Identifier
1205889706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036074401
- Practice address
- 1177 N Highland Ave
Aurora, IL 60506-2281 - Phone
- (630) 892-5500
- Fax
- (630) 892-5005
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036074401 | IL | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036074401 | IL |
Addresses
Primary practice location
1177 N Highland Ave
Aurora, IL 60506-2281
Mailing address
4330 Pine Lake Dr
Naperville, IL 60564-9776
Phone (630) 892-5500
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Physicians Services SC | Past | Accepting new patients | |
| F G Obregon & Associates SC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- North Aurora, IL
- NPI 1013371558
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1770621583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1205889706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 PINE LAKE DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649776",
"telephone_number": "630-892-5500",
"fax_number": "630-892-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605062281",
"telephone_number": "630-892-5500",
"fax_number": "630-892-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADHAVAN",
"first_name": "CHITRA",
"middle_name": "SRINIVASAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036074401",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036074401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.