Active NPI
Vijayalakshmi Arekapudi, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1285622878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036058407
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058407 | Medicaid | IL |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036058407 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt Park Health | Obstetrics & Gynecology | Current | Accepting new patients |
| Lake Shore Medical Associates LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Lake Shore Medical Associates, LTD. | Obstetrics & Gynecology | Current | 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.
-
- Clinic/Center
- Chicago, IL
- NPI 1093703688
Obstetrics & Gynecology
-
- Medical Specialty Clinic/Center
- Chicago, IL
- NPI 1104083070
Obstetrics & Gynecology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.