Active NPI
Susmita Ayyagari, MD
- Hospitalist Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036131551
- Practice address
- 2310 Stoneridge Close
Rockford, IL 61107-1038 - Phone
- (815) 262-8156
- NPI assigned
- Apr 17, 2009
- Last updated
- Nov 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036131551 | IL | Primary |
Addresses
Primary practice location
2310 Stoneridge Close
Rockford, IL 61107-1038
Mailing address
2310 Stoneridge Close
Rockford, IL 61107-1038
Phone (815) 262-8156
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Inpatient Medicine LLC | Hospitalist | Current | Accepting new patients |
| Suburban Pulmonary & Sleep Associates LTD | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
339 9th Ave
Lagrange Hlds, IL 60525
Phone (708) 354-4660
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
903 Commerce Dr
Ste 333
Oak Brook, IL 60523
Phone (630) 571-6770
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
1131 W Jefferson St
Shorewood, IL 60404
700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Oak Brook, IL
- NPI 1265989875
-
- Pulmonary Disease Physician
- Westmont, IL
- NPI 1649283896
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
dba Adventhealth Glenoaks
- Psychiatric Hospital Unit
- Glendale Heights, IL
- NPI 1477572949
-
dba Adventhealth Glenoaks
- General Acute Care Hospital
- Glendale Heights, IL
- NPI 1760415939
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth la Grange
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
dba Uchicago Medicine Adventhealth Home Care
- Home Health Agency
- La Grange, IL
- NPI 1457397317
-
dba Adventhealth la Grange
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511481600000",
"number": "1275776445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 STONERIDGE CLOSE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611071038",
"telephone_number": "815-262-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 STONERIDGE CLOSE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611071038",
"telephone_number": "815-262-8156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYYAGARI",
"first_name": "SUSMITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2017-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036131551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; 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.
- 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.