NPIMap

Individual provider Active NPI

Keerthi Tamragouri, M.D.

  • Hematology & Oncology Physician
  • Bolingbrook, IL
National Provider Identifier
1477971216
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036142907 Issued in IL
Practice address
420 N Schmidt Rd Ste 230
Bolingbrook, IL 60440-1737
Phone
(630) 312-2000
NPI assigned
Mar 30, 2014
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-142907 IL
Hematology & Oncology Physician 207RH0003X 036142907 IL Primary

Addresses

Primary practice location

420 N Schmidt Rd Ste 230
Bolingbrook, IL 60440-1737

Mailing address

420 N Schmidt Rd Ste 230
Bolingbrook, IL 60440-1737
Phone (630) 312-2000

Other names 1

  • Ms. Keerthi Ranganath Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916002486 IL Practitioner - Hematology/Oncology 7214233030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahp Specialty Care NFPGroup PAC ID 9931491107, 32 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-6990

3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-5900

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-5614

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
77.11
Promoting interoperability
100
Improvement activities
40
Cost
67.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-142907ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahp Specialty Care NFP CurrentSince Sep 1, 2021 Accepting new patients

Locations

420 N Schmidt Rd
Ste 230
Bolingbrook, IL 60440
Phone (630) 312-2000

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

Interoperability endpoints

  • Direct secure messaging: ktamragouri1239658@adventhealth.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1477971216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N SCHMIDT RD STE 230",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401737",
            "telephone_number": "630-312-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N SCHMIDT RD STE 230",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401737",
            "telephone_number": "630-312-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMRAGOURI",
        "first_name": "KEERTHI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-142907",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036142907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEERTHI",
            "last_name": "RANGANATH",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.