Active NPI
Nalini M Rajamannan, MD
- Cardiovascular Disease Physician
- Sheboygan, WI
National Provider Identifier
1255362299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 41806
- Practice address
- 703 N 8TH St
Sheboygan, WI 53081-4501 - Phone
- (920) 451-4611
- Fax
- (855) 827-3381
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036103233 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 41806 | WI | Primary |
Addresses
Primary practice location
703 N 8TH St
Sheboygan, WI 53081-4501
Mailing address
703 N 8TH St
Sheboygan, WI 53081-4501
Phone (920) 451-4611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002350204 | Other | MEDICARE ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103233 | IL | MD | Cardiovascular Disease Physician |
| 41806 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1255362299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 N 8TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814501",
"telephone_number": "920-451-4611",
"fax_number": "855-827-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N 8TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814501",
"telephone_number": "920-451-4611",
"fax_number": "855-827-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAMANNAN",
"first_name": "NALINI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036103233",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "41806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "002350204",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.