Siri Atma W Greeley, MD, PHD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

036-115928 Issued in IL

Practice address

5839 S Maryland Ave
Mc5053
Chicago, IL 60637-1463

Phone

(773) 702-6432

Fax

(773) 702-0443

NPI assigned

Jul 16, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgreeleymd15567@uchospital.direct-ci.com

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.

• University of Chicago

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1821048786
  Medicare reassignment NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1225292402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 S MARYLAND AVE",
            "address_2": "MC5053",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371463",
            "telephone_number": "773-702-6432",
            "fax_number": "773-702-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 S MARYLAND AVE",
            "address_2": "MC5053",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371463",
            "telephone_number": "773-702-6432",
            "fax_number": "773-702-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREELEY",
        "first_name": "SIRI ATMA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036-115928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Grecco, PT, DPT
• Julia Greco
• McKayla Roos Greco
• Kara W Greeley, M.D.
• Meghan Elizabeth Greeley, LCSW
• Green Bamboo Acupuncture & Oriental Medicine
• Green Healthcare Clinic LLC (Green Healthcare Clinic)
• Green Healthcare LTD.
• Green Light Counseling PLLC
• Green Table Talks NFP

• Pediatric Endocrinology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.