NPIMap

Individual provider Active NPI

Prabhu Shivalingappa, M.D.

  • Internal Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1447337704
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-087760 Issued in IL
Practice address
534 Chestnut Street
Ste 210
Hinsdale, IL 60521-3257
Phone
(630) 232-7833
Fax
(630) 323-7410
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-087760 IL Primary

Addresses

Primary practice location

534 Chestnut Street
Ste 210
Hinsdale, IL 60521-3257

Mailing address

534 Chestnut St
Ste 210
Hinsdale, IL 60521-3167
Phone (630) 323-7833

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
I20090304000505 IL Practitioner - Internal Medicine 6305902073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Dupage Internal Medicine of Illinois LLCGroup PAC ID 0648336313, 5 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

534 W Chestnut St
Suite 210
Hinsdale, IL 60521-3175
Phone (630) 323-7833

Hospital & facility affiliations

  • M&U Healthcare Specialists Home health agency, Stone Park, IL, CCN 148417
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Burgess Square Healthcare Ctr Nursing home, Westmont, IL, CCN 145219

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087760ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Internal Medicine of Illinois LLC Internal Medicine CurrentSince Mar 1, 2000 Accepting new patients

Locations

534 W Chestnut St
Ste 210
Hinsdale, IL 60521
Phone (630) 323-7833

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

Interoperability endpoints

  • Direct secure messaging: pshivalingappa251508@direct.myadvocateaurora.org

Organizations & group practices 2

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 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1447337704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CHESTNUT ST",
            "address_2": "STE 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213167",
            "telephone_number": "630-323-7833",
            "fax_number": "630-323-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CHESTNUT STREET",
            "address_2": "STE 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-232-7833",
            "fax_number": "630-323-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVALINGAPPA",
        "first_name": "PRABHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-087760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.