Individual provider Active NPI

Vijayalakshmi Arekapudi, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1285622878
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036058407 Issued in IL
Practice address
2222 W Division St Ste 116
Chicago, IL 60622-3093
Phone
(773) 525-7720
Fax
(773) 525-9199
NPI assigned
Oct 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036058407 IL Primary

Addresses

Primary practice location

2222 W Division St Ste 116
Chicago, IL 60622-3093

Mailing address

2734 N Lincoln Ave
Chicago, IL 60614-1321
Phone (773) 525-7720

Other identifiers 1

IdentifierTypeStateIssuer
036058407MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000838 IL Practitioner - Obstetrics/Gynecology 0648357681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2734 N Lincoln Ave
Chicago, IL 60614-1321
Phone (773) 525-7720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036058407ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Park Health Obstetrics & Gynecology CurrentSince Oct 24, 2022 Accepting new patients
Lake Shore Medical Associates LTD Obstetrics & Gynecology Current Accepting new patients
Lake Shore Medical Associates, LTD. Obstetrics & Gynecology CurrentSince Jan 1, 1987 Accepting new patients

Locations

2222 W Division St
Ste 116
Chicago, IL 60622
Phone (773) 525-7720

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

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": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1285622878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141321",
            "telephone_number": "773-525-7720",
            "fax_number": "773-525-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223093",
            "telephone_number": "773-525-7720",
            "fax_number": "773-525-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREKAPUDI",
        "first_name": "VIJAYALAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-08",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036058407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058407",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.