Organization Active NPI

Alpha Med Physicians Group, LLC

  • Specialist
  • Tinley Park, IL
National Provider Identifier
1467741314
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALPHA MED PHYSICIANS GROUP, LLC
Practice address
17333 S Lagrange Rd
Suite 200
Tinley Park, IL 60487-7581
Phone
(708) 342-1900
Fax
(708) 745-9993
NPI assigned
Mar 31, 2011
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Subramanya Rao, M.D.NPI 1740256783
Title
Manager
Phone
(708) 342-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

17333 S Lagrange Rd
Suite 200
Tinley Park, IL 60487-7581

Mailing address

17333 S Lagrange Rd
Suite 200
Tinley Park, IL 60487-7581
Phone (708) 342-1900

National Provider Directory

National Provider Directory

Locations

17901 Governors Hwy
Ste 208
Homewood, IL 60430
Phone (708) 799-3305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1467741314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 S LAGRANGE RD",
            "address_2": "SUITE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877581",
            "telephone_number": "708-342-1900",
            "fax_number": "708-745-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17333 S LAGRANGE RD",
            "address_2": "SUITE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877581",
            "telephone_number": "708-342-1900",
            "fax_number": "708-745-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MED PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SUBRAMANYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-342-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.