Individual provider Active NPI

Asha Plamoottil

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1275913337
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036146940 Issued in IL
Practice address
9301 Golf Rd Ste 302
Des Plaines, IL 60016
Phone
(847) 296-8151
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036146940 IL Primary

Addresses

Primary practice location

9301 Golf Rd Ste 302
Des Plaines, IL 60016

Mailing address

9301 Golf Rd Ste 302
Des Plaines, IL 60016-7900
Phone (847) 296-8151

Other practice location 1

9301 Golf Rd Ste 302
Des Plaines, IL 60016
Phone (847) 296-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425002531 FL Practitioner - Internal Medicine 8426300963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Health, Inc. Internal Medicine CurrentSince May 13, 2024 Accepting new patients
Endeavor Health Medical Group Internal Medicine Past Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine PastSince May 8, 2022 Accepting new patients

Locations

701 S Orange Blossom Trl
Apopka, FL 32703
Phone (407) 703-9990

6150 Metrowest Blvd
Ste 307
Orlando, FL 32835
Phone (407) 294-1014

Interoperability endpoints

  • Direct secure messaging: asha.plamoottil.1@22364.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1275913337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD STE 302",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600167900",
            "telephone_number": "847-296-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD STE 302",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-296-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 Golf Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "60016",
            "country_code": "US",
            "telephone_number": "847-296-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAMOOTTIL",
        "first_name": "ASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036146940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.