Individual provider Active NPI

Hari P Gadde, MD

  • Pulmonary Disease Physician
  • Joliet, IL
National Provider Identifier
1285601872
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036089302 Issued in IL
Practice address
330 Madison St
L11
Joliet, IL 60435-6569
Phone
(815) 744-5864
Fax
(815) 744-5862
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036089302 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036089302 IL
Pulmonary Disease Physician 207RP1001X 036089302 IL Primary

Addresses

Primary practice location

330 Madison St
L11
Joliet, IL 60435-6569

Mailing address

330 Madison St
L11
Joliet, IL 60435-6569
Phone (815) 744-5864

Other identifiers 5

IdentifierTypeStateIssuer
303521OtherWELLCARE
036089302MedicaidIL
290015414OtherPALMETTO GBA-RAILROAD MED
09905905OtherILBLUECROSS BLUESHIELD
7524536546043501MedicaidIL

Other names 1

  • Hariprasad Gadde Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080502000130 IL Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0143309179 Reassigns benefits to 1 organization
Practice locations: Joliet, IL
I20230421001875 WI Practitioner - Internal Medicine 0143309179 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension NE Wisconsin, Inc CurrentSince Apr 12, 2023 Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince Jan 1, 2023 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Apr 12, 2023 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1285601872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MADISON ST",
            "address_2": "L11",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356569",
            "telephone_number": "815-744-5864",
            "fax_number": "815-744-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON ST",
            "address_2": "L11",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356569",
            "telephone_number": "815-744-5864",
            "fax_number": "815-744-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDE",
        "first_name": "HARI",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089302",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036089302",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036089302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "303521",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089302",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MED",
            "identifier": "290015414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "09905905",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7524536546043501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARIPRASAD",
            "last_name": "GADDE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.