Sreya Pallath, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036-106563 Issued in IL

Practice address

4542 W 95TH St
Oak Lawn, IL 60453-2627

Phone

(708) 425-0522

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Nephrology

Education

Rush Medical College of Rush University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J R Nephology and Associates IncGroup PAC ID 5496783334, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Chicago Ridge Dialysis Dialysis facility, Chicago Ridge, IL, CCN 142793
• DaVita Oak Meadows Dialysis Dialysis facility, Oak Lawn, IL, CCN 142863
• DaVita Beverly Dialysis Dialysis facility, Chicago, IL, CCN 142638
• DaVita Stony Creek Dialysis Dialysis facility, Oak Lawn, IL, CCN 142661
• Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
• Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spallath@jrnephrology.amazing-direct.com
• Direct secure messaging: spallath274590@direct.myadvocateaurora.org

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.

• J R Nephology & Associates Inc

  • Specialist
  • Oak Lawn, IL
  • NPI 1073630661
  Medicare reassignment Care Compare group NPD
• Cagles Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago Ridge, IL
  • NPI 1629466339
  NPD (past)

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

• Cagles Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago Ridge, IL
  • NPI 1629466339

  Dialysis facility

  Care Compare affiliation Name & address match
• Motte Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oak Lawn, IL
  • NPI 1932664224

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Life Link Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1215023338

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Life Link Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oak Lawn, IL
  • NPI 1295821304

  Dialysis facility

  Care Compare affiliation Name & address match
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Oak Lawn, IL
  • NPI 1548375082
  Care Compare affiliation
• Osf Healthcare System

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1467489583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532627",
            "telephone_number": "708-425-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532627",
            "telephone_number": "708-425-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLATH",
        "first_name": "SREYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036106563",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-106563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106563",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spallath274590@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4542 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4542 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlo G Pagni, DDS
• Jessie Jean Pagotelis, LCSW
• Magdalena Maria Pajak, PT, DPT
• Theresa Palermo, DNP, APRN, NNP-BC
• Thomas Joseph Pallardy, PSY.D.
• Amy Elizabeth Palmer, PA-C
• Jordan Palmer
• Ashley Marie Palmieri, APN
• Palos Internists SC
• Palos Pediatric Associates

• Nephrology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.