Individual provider Active NPI

Ghanshyam V Merai, MD

  • Family Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1316022809
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
336019160 Issued in IL
Practice address
5208 W 95TH St
Oak Lawn, IL 60453-2443
Phone
(708) 424-0050
Fax
(708) 424-0050
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 336019160 IL Primary

Addresses

Primary practice location

5208 W 95TH St
Oak Lawn, IL 60453-2443

Mailing address

5208 W 95TH St
Oak Lawn, IL 60453-2443
Phone (708) 424-0050

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

LicenseStateTypeSpecialty
336019160ILMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1316022809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532443",
            "telephone_number": "708-424-0050",
            "fax_number": "708-424-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532443",
            "telephone_number": "708-424-0050",
            "fax_number": "708-424-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAI",
        "first_name": "GHANSHYAM",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336019160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.