Active NPI
Brijmohan Malani, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1588633192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036052869
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052869 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040617000049 | IL | Practitioner - Internal Medicine | 2567446495 | Practice locations: Chicago, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Medical Center | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1164491692
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.