Individual provider Active NPI

Srinithya Ramachandran, NP-G

  • Gerontology Clinical Nurse Specialist
  • Rochelle, IL
National Provider Identifier
1376219113
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
209023817 Issued in IL
Practice address
915 N Caron Rd
Rochelle, IL 61068-9649
Phone
(815) 561-8866
Fax
(877) 650-5812
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 209023817 IL Primary

Addresses

Primary practice location

915 N Caron Rd
Rochelle, IL 61068-9649

Mailing address

1111 W 22ND St Ste 260
Oak Brook, IL 60523-7408
Phone (630) 501-0093

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001570 IL Practitioner - Nurse Practitioner 1355749300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 W 22ND St
Suite 260
Oak Brook, IL 60523-7408
Phone (630) 501-0093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209023817ILMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice of Western Illinois, LLC CurrentSince Sep 1, 2021 Accepting new patients
First Health Hospice LLC CurrentSince Nov 2, 2024 Accepting new patients
First Health Hospice LLC PastSince Jul 9, 2025 Accepting new patients

Locations

1111 W 22nd St
Ste 260
Oak Brook, IL 60523
Phone (630) 501-0093

915 N Caron Rd
Rochelle, IL 61068
Phone (815) 561-8866

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1376219113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 22ND ST STE 260",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605237408",
            "telephone_number": "630-501-0093",
            "fax_number": "888-486-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N CARON RD",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689649",
            "telephone_number": "815-561-8866",
            "fax_number": "877-650-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMACHANDRAN",
        "first_name": "SRINITHYA",
        "name_prefix": "Mrs.",
        "credential": "NP-G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IL",
            "license": "209023817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

Verify at the official NPI Registry.