Individual provider Active NPI

Harshiv J Vyas, B.D.S., M.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Orland Park, IL
National Provider Identifier
1356606255
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019.030934 Issued in IL
Practice address
15300 West Ave Ste 113
Orland Park, IL 60462-4685
Phone
(708) 349-4000
Fax
(888) 334-0111
NPI assigned
Jul 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 019.030934 IL Primary

Addresses

Primary practice location

15300 West Ave Ste 113
Orland Park, IL 60462-4685

Mailing address

15300 West Ave Ste 113
Orland Park, IL 60462-4685
Phone (708) 349-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 6, 2025 through Nov 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.030934ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Harshiv J Vyas MDS PLLC Oral and Maxillofacial Surgery CurrentSince May 14, 2023 Accepting new patients
Glenbrook Oral & Maxillofacial Surgery LTD Oral and Maxillofacial Surgery PastSince Mar 1, 2005 Accepting new patients
Oral & Maxillofacial Surgery of Chicago P.C. Oral and Maxillofacial Surgery PastSince Mar 20, 2022 Accepting new patients

Locations

3633 W Lake Ave
Ste 100
Glenview, IL 60026
Phone (847) 998-8959

Interoperability endpoints

  • Direct secure messaging: hvyas278439@direct.myadvocateaurora.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356606255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 113",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624685",
            "telephone_number": "708-349-4000",
            "fax_number": "888-334-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 113",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624685",
            "telephone_number": "708-349-4000",
            "fax_number": "888-334-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "HARSHIV",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-07",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.030934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.