Individual provider Active NPI

Ramesh Soundararajan, M.D.

  • Nephrology Physician
  • Chicago Heights, IL
National Provider Identifier
1376523647
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036076037 Issued in IL
Practice address
30 E 15TH St
Suite 201
Chicago Heights, IL 60411-3459
Phone
(312) 654-2736
Fax
(708) 221-6454
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036076037 IL Primary

Addresses

Primary practice location

30 E 15TH St
Suite 201
Chicago Heights, IL 60411-3459

Mailing address

210 S Desplaines St
Chicago, IL 60661-5500
Phone (312) 654-2700

Other practice location 1

3700 W 203rd St Ste 201
Olympia Fields, IL 60461-1182
Phone (708) 679-2120

Other identifiers 1

IdentifierTypeStateIssuer
036076037MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsoundararajan136441@Direct.FranciscanAlliance.org Direct

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
I20040903001226 IL Practitioner - NephrologyPractitioner - Internal Medicine 5698741288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Nephrology SCGroup PAC ID 9133023963, 52 clinicians
Specialty Physicians of Illinois LLCGroup PAC ID 4183529456, 114 clinicians

Practice addresses (Care Compare)

15 Independence Dr
Chicago Heights, IL 60411-4198
Phone (312) 654-2736

17225 S Paxton
South Holland, IL 60473-3757
Phone (708) 474-8700

177 W Joe Orr Rd
Chicago Heights, IL 60411-1733
Phone (708) 755-9000

17800 S Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 799-8000

17850 Kedzie Ave
Suite 700
Hazel Crest, IL 60429-2058
Phone (708) 952-3040

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445

20201 S Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone (708) 379-2310

3700 W 203Rd St
Olympia Fields, IL 60461-1182

4557 W Lincoln Hwy B
Matteson, IL 60443-2385
Phone (708) 503-1112

825 W 35TH St
Chicago, IL 60609-1511
Phone (312) 654-2744

Hospital & facility affiliations

  • FMC - Neomedica - South Holland Dialysis facility, South Holland, IL, CCN 142542
  • FKC - Chicago Heights Dialysis facility, Chicago Heights, IL, CCN 142832
  • DaVita Chicago Heights Dialysis Dialysis facility, Chicago Heights, IL, CCN 142635
  • DaVita Olympia Fields Dialysis Center Dialysis facility, Matteson, IL, CCN 142548
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, S.C. Nephrology CurrentSince Sep 1, 2004 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 1, 2014 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 1, 2014 Accepting new patients
Dialysis Access Center, LLC Past Accepting new patients
Vascular Access Centers of Illinois at Morgan Park, LLC Past Accepting new patients
Associates in Nephrology, LTD Nephrology Past Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

4026 Paysphere Cir
Chicago, IL 60674

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

1701 W Monterey Ave
Ste 7
Chicago, IL 60643
Phone (312) 654-2730

825 W 35th St
Chicago, IL 60609
Phone (773) 890-4330

15 Independence Dr
Chicago Heights, IL 60411
Phone (312) 654-2736

30 E 15th St
Ste 201
Chicago Hts, IL 60411
Phone (312) 654-2736

10043 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 469-0609

3700 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2120

3700 W 203rd St
Ste 201
Olympia Flds, IL 60461
Phone (708) 679-2880

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

Interoperability endpoints

  • Direct secure messaging: rsoundararajan18548@direct.acumenmd.com
  • Direct secure messaging: rsoundararajan136441@direct.franciscanalliance.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1376523647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2700",
            "fax_number": "312-654-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST",
            "address_2": "SUITE 201",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "312-654-2736",
            "fax_number": "708-221-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 W 203rd St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611182",
            "country_code": "US",
            "telephone_number": "708-679-2120",
            "fax_number": "708-503-3230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUNDARARAJAN",
        "first_name": "RAMESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036076037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076037",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsoundararajan136441@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St Ste 202",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.