Bhagavatula Ramakrishna, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036-050628 Issued in IL

Practice address

12251 S 80TH Ave
Suite 1630
Palos Heights, IL 60463-1256

Phone

(708) 923-7874

Fax

(708) 923-7873

NPI assigned

Sep 20, 2005

Sex

Male

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.

• Id Associates Limited

  • Infectious Disease Physician
  • Oak Brook, IL
  • NPI 1699201582
  NPD (past)
• Southwest Infectious Disease & Internal Medicine S C

  • Infectious Disease Physician
  • Palos Heights, IL
  • NPI 1447337548
  NPD (past)
• John V. Kelly MD, PC

  • Internal Medicine Physician
  • Bloomfield, NJ
  • NPI 1417065830
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1629063243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "address_2": "SUITE 1630",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-923-5173",
            "fax_number": "708-923-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "address_2": "SUITE 1630",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-923-7874",
            "fax_number": "708-923-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAKRISHNA",
        "first_name": "BHAGAVATULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-050628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050628",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400293103",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "21622441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rago, M.S. CCC-SLP
• Ghassan Rahhal, MD
• Anwer Zia Rahman, MD
• Samer Rodwan Rajjoub, M.D.
• Prutha R Rajyaguru, PA-C
• Umair Randhawa, MD
• Cynthia N Rangel, PSY.D.
• Megan Rapacki, MA, BCBA
• Summer Lillyann Rasmi, RBT
• Nafees H Rasul, DT

• Infectious Disease Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.