Indira Vadali, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036049319 Issued in IL

Practice address

10458 S Pulaski Rd
Oak Lawn, IL 60453-4933

Phone

(708) 636-1818

Fax

(708) 636-2151

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southwest Medical Consultants, S.C.

  • Gastroenterology Physician
  • Oak Lawn, IL
  • NPI 1265458889

  Internal Medicine

  NPD (past)
• Southwest Medical Consultants, S.C.

  • Hematology & Oncology Physician
  • Willowbrook, IL
  • NPI 1871780304
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1619997335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "773-767-4600",
            "fax_number": "773-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10458 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534933",
            "telephone_number": "708-636-1818",
            "fax_number": "708-636-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADALI",
        "first_name": "INDIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036049319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "K27300",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049319",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0031601474",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison L Usher, APN-CRNA
• Abdulkadir Usman
• Chelessa Lee Usselman, ACNP-BC, BSN
• Leah M Ustas, M.D.
• V Upadhyaya MD LTD
• Mahesh Vadali, M.D.
• Sagar Vadhar, D.O.
• Susan Vahebi, M.D,PH.D
• Terrance A. Vaisvilas, M.D.
• Morena Leticia Valdizon, DO

• Internal Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, 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 Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.