Organization Active NPI

Saritha Vankana MDSC

  • Internal Medicine Physician
  • Maywood, IL
National Provider Identifier
1285951335
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036098715 Issued in IL
Legal business name
SARITHA VANKANA MDSC
Practice address
1516 Madison St
Maywood, IL 60153-1824
Phone
(708) 343-6450
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Saritha Vankana, MDNPI 1740284504
Title
President
Phone
(630) 886-3209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036098715 IL Primary

Addresses

Primary practice location

1516 Madison St
Maywood, IL 60153-1824

Mailing address

6529 Middlecoff CT
Woodridge, IL 60517-1487
Phone (630) 886-3209

Other identifiers 1

IdentifierTypeStateIssuer
036098715MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000674 IL Part B Supplier - Clinic/Group Practice 3779612221 Receives reassigned benefits from 1 practitioner
Practice locations: Maywood, IL

National Provider Directory

National Provider Directory

Locations

1516 Madison St
Maywood, IL 60153
Phone (708) 343-6450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1285951335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 MIDDLECOFF CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171487",
            "telephone_number": "630-886-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 MADISON ST",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531824",
            "telephone_number": "708-343-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARITHA VANKANA MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "VANKANA",
        "authorized_official_first_name": "SARITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-886-3209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098715",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.