NPIMap

Individual provider Active NPI

Srilakshmi Vemareddy, M.D.

  • Internal Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1215922398
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036109580 Issued in IL
Practice address
215 Remington Blvd
Ste F
Bolingbrook, IL 60440-3656
Phone
(630) 378-4480
Fax
(630) 378-4481
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036109580 IL Primary

Addresses

Primary practice location

215 Remington Blvd
Ste F
Bolingbrook, IL 60440-3656

Mailing address

215 Remington Blvd
Ste F
Bolingbrook, IL 60440-3656
Phone (630) 378-4480

Other identifiers 1

IdentifierTypeStateIssuer
036109580MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000445 IL Practitioner - Internal Medicine 3476515867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Primary Care S CGroup PAC ID 9830296797, 2 clinicians

Practice addresses (Care Compare)

215 Remington Blvd
Suite F
Bolingbrook, IL 60440-3662
Phone (630) 378-4880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Primary Care SC Internal Medicine CurrentSince May 1, 2007 Accepting new patients

Locations

215 Remington Blvd
Ste F
Bolingbrook, IL 60440
Phone (630) 378-4480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCFBD/Endpoint/BFCFBD

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1215922398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD",
            "address_2": "STE F",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403656",
            "telephone_number": "630-378-4480",
            "fax_number": "630-378-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD",
            "address_2": "STE F",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403656",
            "telephone_number": "630-378-4480",
            "fax_number": "630-378-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMAREDDY",
        "first_name": "SRILAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036109580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109580",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.