NPIMap

Organization Active NPI

Southwest Medical Consultants, S.C.

  • Gastroenterology Physician
  • Oak Lawn, IL
National Provider Identifier
1265458889
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SOUTHWEST MEDICAL CONSULTANTS, S.C.
Practice address
10458 S Pulaski Rd
Oak Lawn, IL 60453-4933
Phone
(708) 636-1818
Fax
(708) 636-2151
NPI assigned
Jul 15, 2006
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST MEDICAL CONSULTANTS, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Dr. S Venkataraman, MDNPI 1154347748
Title
President
Phone
(708) 636-1818

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Gastroenterology Physician 207RG0100X NU Primary
Hematology & Oncology Physician 207RH0003X NU

Addresses

Primary practice location

10458 S Pulaski Rd
Oak Lawn, IL 60453-4933

Mailing address

PO Box 388320
Chicago, IL 60638-8320
Phone (773) 767-4600

Other identifiers 1

IdentifierTypeStateIssuer
31601474OtherILBLUE CROSS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address subramanianvenkataraman@swmc.allscriptsdirect.net Direct
FHIR URL https://fhir.prosuite.allscriptscloud.com/fhirroute/fhir60126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050316000387 IL Part B Supplier - Clinic/Group Practice 7517912165 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Willowbrook, IL; Oak Lawn, IL; Elmhurst, IL; La Grange, IL; Evergreen Park, IL; Downers Grove, IL; Bolingbrook, IL; Blue Island, IL…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
14D0419795Southwest Medical Consultants SC10458 S Pulaski, Oak Lawn, IL 60453Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Southwest Medical Consu

Interoperability endpoints

  • Direct secure messaging: subramanianvenkataraman@swmc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 11

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1265458889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "773-767-4600",
            "fax_number": "773-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10458 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534933",
            "telephone_number": "708-636-1818",
            "fax_number": "708-636-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL CONSULTANTS, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST MEDICAL CONSULTANTS, S.C.",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "VENKATARAMAN",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "31601474",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "subramanianvenkataraman@swmc.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10458 S Pulaski Rd",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.prosuite.allscriptscloud.com/fhirroute/fhir60126",
            "affiliation": "N",
            "address_1": "10458 S Pulaski Rd",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.