Individual provider Active NPI

Amrit Vaidyanath Vinod, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chicago, IL
National Provider Identifier
1477087997
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
125.079170 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(773) 834-3531
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 125.079170 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X S09100492 MA

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Phone (773) 702-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230913000189 MA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5890032379 Reassigns benefits to 2 organizations
I20230919000867 NH Practitioner - Orthopedic Surgery 5890032379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Massachusetts Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

231 Sutton St
North Andover, MA 01845-1620
Phone (978) 725-0900

288 Groveland St
Haverhill, MA 01830-6674
Phone (978) 373-3851

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.079170ILMDSports Medicine (Orthopaedic Surgery) Physician
S09100492MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. CurrentSince Aug 1, 2023 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Aug 1, 2023 Accepting new patients
Mass General Brigham Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Pentucket Medical Associates, LLC Current Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

288 Groveland St
Haverhill, MA 01830
Phone (978) 372-7751

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

370 Merrimack St
Bldg 5
Lawrence, MA 01843
Phone (978) 327-2907

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

231 Sutton St
North Andover, MA 01845
Phone (978) 373-3851

30 Tuscan Blvd
#3
Salem, NH 03079

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

Interoperability endpoints

  • Direct secure messaging: vinod.amrit.pma@direct.partners.masshiway.net

Organizations & group practices 6

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 6

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1477087997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "773-834-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOD",
        "first_name": "AMRIT",
        "middle_name": "VAIDYANATH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "125.079170",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "S09100492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.