Individual provider Active NPI

Deepika Buchupalli, M.D.

  • Infectious Disease Physician
  • Joliet, IL
National Provider Identifier
1306000484
Registry record updated Feb 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.118726 Issued in IL
Practice address
1051 Essington Rd
Suite 210
Joliet, IL 60435-2801
Phone
(815) 726-1818
Fax
(815) 726-0232
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036.118726 IL Primary

Addresses

Primary practice location

1051 Essington Rd
Suite 210
Joliet, IL 60435-2801

Mailing address

1051 Essington Rd
Suite 210
Joliet, IL 60435-2801
Phone (815) 726-1818

Other identifiers 1

IdentifierTypeStateIssuer
036118726MedicaidIL

Other names 1

  • Dr. Deepika Buchupalli Professional name

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
I20100707000073 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 4385775469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Infectious Disease Associates LTDGroup PAC ID 8224092028, 11 clinicians

Practice addresses (Care Compare)

1051 Essington Rd
Joliet, IL 60435-2812
Phone (815) 726-1818

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118726ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Infectious Disease Associates LTD CurrentSince Feb 6, 2010 Accepting new patients

Locations

1051 Essington Rd
Ste 210
Joliet, IL 60435
Phone (815) 726-1818

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329004800000",
    "number": "1306000484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD",
            "address_2": "SUITE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352801",
            "telephone_number": "815-726-1818",
            "fax_number": "815-726-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD",
            "address_2": "SUITE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352801",
            "telephone_number": "815-726-1818",
            "fax_number": "815-726-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHUPALLI",
        "first_name": "DEEPIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.118726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118726",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPIKA",
            "last_name": "BUCHUPALLI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.