Active NPI
Ramasamy Kalimuthu, M.D.
- Plastic Surgery Physician
- Oak Lawn, IL
National Provider Identifier
1366448128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036056073
- Practice address
- 5346 W 95TH St
Oak Lawn, IL 60453-2452 - Phone
- (708) 636-8222
- Fax
- (708) 636-9798
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 036056073 | IL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036056073 | IL | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 036056073 | IL | |
| Plastic Surgery Physician | 208200000X | 036056073 | IL | Primary |
Addresses
Primary practice location
5346 W 95TH St
Oak Lawn, IL 60453-2452
Mailing address
5346 W 95TH St
Oak Lawn, IL 60453-2452
Phone (708) 636-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036056073 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090409000138 | IL | Practitioner - Plastic and Reconstructive Surgery | 4789605213 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036056073 | IL | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1366448128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5346 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532452",
"telephone_number": "708-636-8222",
"fax_number": "708-636-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5346 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532452",
"telephone_number": "708-636-8222",
"fax_number": "708-636-9798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIMUTHU",
"first_name": "RAMASAMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "IL",
"license": "036056073",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": "036056073",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "IL",
"license": "036056073",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036056073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036056073",
"state": "IL"
}
],
"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 May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.