Mayuri Morker, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036.126280 Issued in IL

Practice address

625 Bethany Rd
Suite #3
Dekalb, IL 60115-4908

Phone

(815) 758-5800

Fax

(815) 758-5144

NPI assigned

Jun 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Dupage Physician Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844

  Pediatrics

  Medicare reassignment NPD
• Central Dupage Physician Group

  • Orthopaedic Surgery Physician
  • Geneva, IL
  • NPI 1780012344
  NPD
• Umesh P. Goswami MD SC

  • Physical Medicine & Rehabilitation Physician
  • Dekalb, IL
  • NPI 1124207311
  NPD (past)
• Umesh P. Goswami, MD SC

  • Primary Care Clinic/Center
  • Dekalb, IL
  • NPI 1033393889
  NPD (past)

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1598059982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N ROY AVE",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601641213",
            "telephone_number": "708-409-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BETHANY RD",
            "address_2": "SUITE #3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154908",
            "telephone_number": "815-758-5800",
            "fax_number": "815-758-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORKER",
        "first_name": "MAYURI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.126280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Peter Moore, PTA
• Sara Mora
• Gabrielle J Moreno, BS
• Alysia A Moret-Schmerbach, APRN, CNP
• Anand B. Morker, M.D.
• Minesh U Morker, M.D.
• Sherrill Morris, CCC-SLP
• Adeline Morrissette
• Margaret Mosca, LCSW
• Donna Lynn Moulton, LCSW

• Pediatrics Physician in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.

Verify at the official NPI Registry.