Active NPI
Syam Kilaru, M.D.
- Internal Medicine Physician
- Burlington, IA
National Provider Identifier
1447425772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24521
- Practice address
- 2527 Quail Ridge Dr
Burlington, IA 52601-2500 - Phone
- (630) 701-6105
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24521 | IA | Primary |
Addresses
Primary practice location
2527 Quail Ridge Dr
Burlington, IA 52601-2500
Mailing address
2527 Quail Ridge Dr
Burlington, IA 52601-2500
Phone (630) 701-6105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24521 | IA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1447425772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 QUAIL RIDGE DR",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526012500",
"telephone_number": "630-701-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 QUAIL RIDGE DR",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526012500",
"telephone_number": "630-701-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILARU",
"first_name": "SYAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "24521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.