Individual provider Active NPI

Brijmohan Malani, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1588633192
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036052869 Issued in IL
Practice address
2335 W Foster Ave
Chicago, IL 60625-1843
Phone
(773) 334-4145
Fax
(773) 334-0444
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036052869 IL Primary

Addresses

Primary practice location

2335 W Foster Ave
Chicago, IL 60625-1843

Mailing address

Department 4363
Carol Stream, IL 60122-4363
Phone (773) 334-4145

Other practice location 1

4600 N Ravenswood Ave Fl 1
Chicago, IL 60640-4510
Phone (773) 561-7500

Other identifiers 1

IdentifierTypeStateIssuer
036052869MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address bmalani205146@direct.myadvocateaurora.org Direct

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
I20040617000049 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2567446495 Practice locations: Chicago, IL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Medical Center Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bmalani205146@direct.myadvocateaurora.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1588633192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 4363",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601224363",
            "telephone_number": "773-334-4145",
            "fax_number": "773-334-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251843",
            "telephone_number": "773-334-4145",
            "fax_number": "773-334-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 N Ravenswood Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606404510",
            "country_code": "US",
            "telephone_number": "773-561-7500",
            "fax_number": "773-561-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALANI",
        "first_name": "BRIJMOHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036052869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052869",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4600 N Ravenswood Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606404510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmalani205146@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4600 N Ravenswood Ave Fl 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606404510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.