Individual provider Active NPI

Ramasamy Kalimuthu, M.D.

  • Plastic Surgery Physician
  • Oak Lawn, IL
National Provider Identifier
1366448128
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036056073 Issued in IL
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

Updated by the provider on May 5, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036056073MedicaidIL

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
I20090409000138 IL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Maxillofacial Surgery 4789605213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036056073ILMDPlastic 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

Verify at the official NPI Registry.