Poornima Narayen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036063543 Issued in IL

Practice address

Maryville, Scott Nolan Center
555 Wilson LN
Desplaines, IL 60016

Phone

(847) 768-5430

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Des Plaines, IL
  • NPI 1982783692
  Medicare reassignment NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Arlington Heights, IL
  • NPI 1487987459
  NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1699701383
  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487787867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DU PAHZE ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARYVILLE, SCOTT NOLAN CENTER",
            "address_2": "555 WILSON LN",
            "city": "DESPLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-768-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYEN",
        "first_name": "POORNIMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036063543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amar Satish Naik, M.D.
• Priyanka Nair, RD, LDN
• Vlada Z Nakhlis, O.D.
• Nancy Eschbach LCSW and Associates
• Noel Elizabeth Nape
• Rukhsar Nasir
• Balakrishnan Natarajan, MD
• Natural Comfort LLC
• Ashley Ann Naula, NP
• Justina Krystyna Nawrot, LCPC

• Pediatrics Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.