Organization Active NPI

Advent Neurology SC

  • Neurology Physician
  • Arlington Heights, IL
National Provider Identifier
1205913308
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ADVENT NEUROLOGY SC
Practice address
657 E Golf Rd
Suite 304
Arlington Heights, IL 60005-4968
Phone
(847) 640-7377
Fax
(847) 640-7977
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Sailaja Maramreddy, MDNPI 1053307132
Title
President
Phone
(847) 640-7377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

657 E Golf Rd
Suite 304
Arlington Heights, IL 60005-4968

Mailing address

657 E Golf Rd
Suite 304
Arlington Heights, IL 60005-4968
Phone (847) 640-7377

Other identifiers 2

IdentifierTypeStateIssuer
DC1155OtherILRAIL ROAD MEDICARE
01634570OtherILBCBS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000689 IL Part B Supplier - Clinic/Group Practice 1557330248 Receives reassigned benefits from 3 practitioners
Practice locations: Hoffman Estates, IL; Elk Grove VLG, IL; Des Plaines, IL; Arlington HTS, IL; Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

657 E Golf Rd
Ste 304
Arlington Hts, IL 60005
Phone (847) 640-7377

Practitioners & affiliated clinicians

Practitioners 3

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1205913308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "SUITE 304",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "847-640-7377",
            "fax_number": "847-640-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "SUITE 304",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "847-640-7377",
            "fax_number": "847-640-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENT NEUROLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "MARAMREDDY",
        "authorized_official_first_name": "SAILAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-640-7377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DC1155",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01634570",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.