Medplus Medical Center SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036095144 Issued in IL

Legal business name

MEDPLUS MEDICAL CENTER SC

Practice address

17850 Kedzie Ave
Suite 2200
Hazel Crest, IL 60429-2058

Phone

(708) 799-9500

Fax

(708) 799-9555

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rita Pamela Saldanha, M.D.NPI 1073560512

Title

Medical Director

Phone

(708) 987-3795

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rita Pamela Saldanha, M.D.

  • Internal Medicine Physician
  • Hazel Crest, IL
  • NPI 1073560512
  Medicare reassignment NPD Authorized official
• Tahir A Abbasi, M.D.

  • Cardiovascular Disease Physician
  • Hazel Crest, IL
  • NPI 1255495701
  Medicare reassignment NPD
• Ambereen Ghani, M.D.

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1548468127
  Medicare reassignment NPD
• Sarina G Jeswani, M.D.

  • Hospitalist Physician
  • Sycamore, IL
  • NPI 1912347329

  Family Medicine

  Medicare reassignment NPD
• Srinivas-Prasad Reddy Jolepalem, M.D.

  • Internal Medicine Physician
  • Darien, IL
  • NPI 1568531564
  Medicare reassignment NPD
• Akber Ali Khan, MD

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1851302939
  Medicare reassignment NPD
• Nisha Thomas

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1700216504
  Medicare reassignment NPD

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1497004139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD FL2",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "708-987-3795",
            "fax_number": "847-352-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "address_2": "SUITE 2200",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-799-9500",
            "fax_number": "708-799-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "SALDANHA",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "PAMELA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-987-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Erin Taylor McCaskill
• Theresa Marie McCollom, PTA
• Randolph M McConnie, MD
• Stavone McHerron
• Dawn Faith McKenzie-Brown
• Bhagvanji Meghpara, D.O.
• Shama R. Mehta, M.D.
• Kinsey Melendez
• Mental Health & Fitness Center
• Kirk Ellis Meyers, MD

• Internal Medicine Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.