Individual provider Active NPI

Vivek Chaturvedi, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Harvey, IL
National Provider Identifier
1487789574
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036122731 Issued in IL
Practice address
71 W 156TH Street
Suite 400
Harvey, IL 60426-4265
Phone
(708) 596-8710
Fax
(708) 596-9820
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center Physicians, LTD. 36 clinicians
Illinois Retina Associates, PLLC 19 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Chicago, IL 60612-3848
Phone (312) 942-5315

25 E Washington St
Suite 301
Chicago, IL 60602-1734
Phone (312) 726-4949

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

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
I20090820000395 IL Practitioner - Ophthalmology 5799839031 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center Physicians, LTD. Ophthalmology CurrentSince Jul 27, 2009 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology Past Accepting new patients

Locations

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

25 E Washington St
Ste 301
Chicago, IL 60602
Phone (312) 726-4949

1725 W Harrison St
Ste 915
Chicago, IL 60612
Phone (312) 942-2117

71 W 156th St
Ste 400
Harvey, IL 60426
Phone (708) 596-8710

Interoperability endpoints

  • Direct secure messaging: vchaturvedi@illret.intellechartdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036122731 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 036122731 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

71 W 156TH Street
Suite 400
Harvey, IL 60426-4265

Mailing address

11516 183Rd PL Ste SW
Orland Park, IL 60467-9471
Phone (708) 877-1300

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
036122731 1MedicaidIL
P00819575OtherILRAILROAD MEDICARE

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address vchaturvedi@illret.intellechartdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2022.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1487789574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 183RD PL STE SW",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679471",
            "telephone_number": "708-877-1300",
            "fax_number": "708-596-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 156TH STREET",
            "address_2": "SUITE 400",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264265",
            "telephone_number": "708-596-8710",
            "fax_number": "708-596-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATURVEDI",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036122731",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036122731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122731 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00819575",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vchaturvedi@illret.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "71 W 156th Street",
            "address_2": "Suite 400",
            "city": "Harvey",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604264265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.