Individual provider Active NPI

Aruna J Ravanam, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Chicago, IL
National Provider Identifier
1487875126
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036-066459 Issued in IL
Practice address
2719 N Halsted St
C1
Chicago, IL 60614-1413
Phone
(773) 388-5685
Fax
(773) 388-5687
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-066459 IL Primary

Addresses

Primary practice location

2719 N Halsted St
C1
Chicago, IL 60614-1413

Mailing address

2719 N Halsted St
C1
Chicago, IL 60614-1413
Phone (773) 388-5685

Other identifiers 1

IdentifierTypeStateIssuer
1487875126OtherCANATIONAL PROVIDER IDENTIFIER

Other names 1

  • Aruna Janardhan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-066459ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anu Chirala a Medical Corporation PastSince May 1, 2013 Accepting new patients
Sofia Garcia-Buder, M.D., S.C. Endocrinology, Diabetes & Metabolism Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1487875126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 N HALSTED ST",
            "address_2": "C1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141413",
            "telephone_number": "773-388-5685",
            "fax_number": "773-388-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 N HALSTED ST",
            "address_2": "C1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141413",
            "telephone_number": "773-388-5685",
            "fax_number": "773-388-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVANAM",
        "first_name": "ARUNA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-066459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER  IDENTIFIER",
            "identifier": "1487875126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARUNA",
            "last_name": "JANARDHAN",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.