Internal Medicine Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036073705 Issued in IL

Legal business name

INTERNAL MEDICINE CENTER

Practice address

1909 Ogden Ave
Downers Grove, IL 60515-2602

Phone

(630) 241-1616

Fax

(630) 541-0066

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ravikiran N Tamragouri, MDNPI 1831207430

Title

President

Phone

(630) 241-1616

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravikiran N Tamragouri, MD

  • Internal Medicine Physician
  • Downers Grove, IL
  • NPI 1831207430
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1588840607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152602",
            "telephone_number": "630-241-1616",
            "fax_number": "630-541-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152602",
            "telephone_number": "630-241-1616",
            "fax_number": "630-541-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "TAMRAGOURI",
        "authorized_official_first_name": "RAVIKIRAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-241-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036073705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073705",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2215606",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Iomd Plastic Surgery Services, LLC
• Gigi Ip, MD
• Ipc Healthcare Services of Illinois, PC
• Irving and Associates in Behavioral Health PC
• Kathleen L. Irving, PH.D.

• Primary Care Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.