NPIMap

Individual provider Active NPI

Mamata M Alwarshetty, MD

  • Interventional Cardiology Physician
  • Aurora, IL
National Provider Identifier
1396712451
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036118357 Issued in IL
Practice address
2088 Ogden Ave
Suite 160
Aurora, IL 60504-4376
Phone
(630) 851-6440
NPI assigned
Mar 7, 2006
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036118357 IL
Interventional Cardiology Physician 207RI0011X 036118357 IL Primary

Addresses

Primary practice location

2088 Ogden Ave
Suite 160
Aurora, IL 60504-4376

Mailing address

2088 Ogden Ave Ste 160
Aurora, IL 60504-4383
Phone (630) 851-6440

Other identifiers 2

IdentifierTypeStateIssuer
036118357MedicaidIL
0093378MedicaidNJ

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
I20110912000206 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4486600053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Copley Memorial Hospital IncGroup PAC ID 4587656921, 45 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Yorkville, IL 60560-4728

1320 N Highland Ave
Aurora, IL 60506-1467
Phone (630) 978-9200

1320 N Highland Ave
Suite a
Aurora, IL 60506-1468
Phone (630) 978-6200

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 499-4721

2088 Ogden Ave
Suite 160
Aurora, IL 60504-4383
Phone (630) 978-6200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118357ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Copley Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients
Nbimc Department of Heart Cardiovascular Disease Past Accepting new patients
Copley Memorial Hospital Inc. Past Accepting new patients
Hampden County Physician Associates, LLC Cardiovascular Disease Past Accepting new patients

Locations

1320 N Highland Ave
Ste A
Aurora, IL 60506
Phone (630) 896-0659

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2088 Ogden Ave
Ste 160
Aurora, IL 60504
Phone (630) 723-3381

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1100 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 236-4307

Interoperability endpoints

  • Direct secure messaging: malwarshetty8933@direct.rush.rush-health.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1396712451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 OGDEN AVE STE 160",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044383",
            "telephone_number": "630-851-6440",
            "fax_number": "630-851-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 OGDEN AVE",
            "address_2": "SUITE 160",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044376",
            "telephone_number": "630-851-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWARSHETTY",
        "first_name": "MAMATA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036118357",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036118357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118357",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093378",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.