Active NPI
Indira Devi Nair, M.D., S.C.
- Internal Medicine Physician
- Niles, IL
National Provider Identifier
1306880455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036067349
- Practice address
- 8565 W Dempster St
Niles, IL 60714-1472 - Phone
- (847) 873-9367
- Fax
- (224) 246-8127
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036067349 | IL | Primary |
Addresses
Primary practice location
8565 W Dempster St
Niles, IL 60714-1472
Mailing address
8565 W Dempster St
Niles, IL 60714-1406
Phone (847) 873-9367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036067349 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khushi Jenna Partnership, LLC | Internal Medicine | Past | Accepting new patients |
| Doctor J M Moradia MD SC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Park Ridge, IL
- NPI 1699708495
-
dba Suburban Medical Center
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1821220625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1306880455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8565 W DEMPSTER ST",
"city": "NILES",
"state": "IL",
"postal_code": "607141406",
"telephone_number": "847-873-9367",
"fax_number": "847-518-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8565 W DEMPSTER ST",
"city": "NILES",
"state": "IL",
"postal_code": "607141472",
"telephone_number": "847-873-9367",
"fax_number": "224-246-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "INDIRA",
"middle_name": "DEVI",
"name_prefix": "Dr.",
"credential": "M.D., S.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036067349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.