NPIMap

Individual provider Active NPI

Veena Nayak, M.D.

  • Rheumatology Physician
  • Olympia Fields, IL
National Provider Identifier
1376539106
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036094023 Issued in IL
Practice address
20060 Governors Dr
Olympia Fields, IL 60461-1029
Phone
(708) 283-2600
Fax
(708) 833-7248
NPI assigned
Sep 27, 2005
Last updated
Dec 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036094023 IL Primary

Addresses

Primary practice location

20060 Governors Dr
Olympia Fields, IL 60461-1029

Mailing address

20060 Governors Dr
Olympia Fields, IL 60461-1099
Phone (708) 283-2600

Other identifiers 1

IdentifierTypeStateIssuer
0001635621OtherILBLUE SHIELD PROVIDER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vnayak279843@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050205000069 IL Practitioner - Rheumatology 2769477769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
State University of New York at Buffalo School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20060 Governors Dr
Olympia Fields, IL 60461-1099
Phone (708) 283-2600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Orthopaedics LTD Current Accepting new patients
Veena Nayak MD SC Rheumatology CurrentSince Jan 13, 2005 Accepting new patients
Carey B Dachman MDSC Rheumatology Past Accepting new patients

Locations

20060 Governors Dr
Ste 300
Olympia Flds, IL 60461
Phone (708) 283-2600

6857 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 323-8800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEDEBA
  • Direct secure messaging: vnayak279843@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1376539106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611099",
            "telephone_number": "708-283-2600",
            "fax_number": "708-833-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611029",
            "telephone_number": "708-283-2600",
            "fax_number": "708-833-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "VEENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036094023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "0001635621",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vnayak279843@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20060 Governors Dr",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.