Individual provider Active NPI

Mukund Narayan, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1467535740
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-096432 Issued in IL
Practice address
3202 W North Ave
Chicago, IL 60647-4940
Phone
(773) 278-1880
Fax
(773) 278-0060
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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 036-096432 IL Primary

Addresses

Primary practice location

3202 W North Ave
Chicago, IL 60647-4940

Mailing address

3202 W North Ave
Chicago, IL 60647-4940
Phone (773) 278-1880

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040414001402 IL Practitioner - Pediatric MedicinePractitioner - Internal MedicinePractitioner - Family Practice 6204820871 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-096432ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Oct 1, 2000 Accepting new patients
Access Community Health Network Current Accepting new patients

Locations

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

3202 W North Ave
Chicago, IL 60647
Phone (773) 278-1880

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1467535740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474940",
            "telephone_number": "773-278-1880",
            "fax_number": "773-278-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474940",
            "telephone_number": "773-278-1880",
            "fax_number": "773-278-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYAN",
        "first_name": "MUKUND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-096432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.