Organization Active NPI

Heyer Celestial Paul Devarapalli MD SC

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1235327677
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036117190 Issued in IL
Legal business name
HEYER CELESTIAL PAUL DEVARAPALLI MD SC
Practice address
1015 S Evergreen Ave
Arlington Heights, IL 60005-3144
Phone
(847) 296-0336
Fax
(847) 789-8548
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Heyer CP Devarapalli, MDNPI 1588704381
Title
Medical Director
Phone
(847) 296-0336

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036117190 IL Primary

Addresses

Primary practice location

1015 S Evergreen Ave
Arlington Heights, IL 60005-3144

Mailing address

1015 S Evergreen Ave
Arlington Heights, IL 60005-3144
Phone (847) 296-0336

Other practice location 1

1601 Tanglewood Ave Ste 106
Hanover Park, IL 60133-3381
Phone (847) 296-0336

Other identifiers 1

IdentifierTypeStateIssuer
1637966OtherILBC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000036 IL Part B Supplier - Clinic/Group Practice 6608963186 Receives reassigned benefits from 2 practitioners
Practice locations: Glenview, IL; Hanover Park, IL; Hoffman Estates, IL; Inverness, IL; Lake Zurich, IL; Long Grove, IL; Niles, IL; Northbrook, IL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2103019Heyer Devarapalli MD1601 Tanglewood Ave, Ste 106, Hanover Park, IL 60133Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

Locations

605 W Central Rd
Ste 105
Arlington Hts, IL 60005
Phone (847) 253-7060

1400 E Golf Rd
Ste 219
Des Plaines, IL 60016
Phone (847) 208-0272

1460 Market St
Ste 202
Des Plaines, IL 60016
Phone (847) 299-3353

1511 Greenwood Rd
Glenview, IL 60026
Phone (847) 729-9090

1601 Tanglewood Ave
Ste 106
Hanover Park, IL 60133
Phone (630) 289-7800

1931 N Meacham Rd
#2
Schaumburg, IL 60173
Phone (847) 274-7285

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1235327677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S EVERGREEN AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053144",
            "telephone_number": "847-296-0336",
            "fax_number": "847-789-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S EVERGREEN AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053144",
            "telephone_number": "847-296-0336",
            "fax_number": "847-789-8548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Tanglewood Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Hanover Park",
            "state": "IL",
            "postal_code": "601333381",
            "country_code": "US",
            "telephone_number": "847-296-0336",
            "fax_number": "847-789-8548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEYER CELESTIAL PAUL DEVARAPALLI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "DEVARAPALLI",
        "authorized_official_first_name": "HEYER",
        "authorized_official_middle_name": "CP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-296-0336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "1637966",
            "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 Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.