Individual provider Active NPI

Nimi John Chirayil, DO

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1629598081
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.152698 Issued in IL
Practice address
2500 SW 75TH Ave
Miami, FL 33155-2805
Phone
(845) 333-6333
Fax
(845) 333-7342
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.152698 IL Primary

Addresses

Primary practice location

2500 SW 75TH Ave
Miami, FL 33155-2805

Mailing address

9221 S Karlov Ave
Oak Lawn, IL 60453-1914

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929001655 IL Practitioner - Family Practice 5890114649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.152698ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. CurrentSince Aug 17, 2020 Accepting new patients
Inpatient Consultants of Illinois, P.C. CurrentSince Aug 17, 2020 Accepting new patients

Locations

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629598081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 S KARLOV AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552805",
            "telephone_number": "845-333-6333",
            "fax_number": "845-333-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRAYIL",
        "first_name": "NIMI",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.152698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.