Individual provider Active NPI

Jayanthi R Ramadurai, MD

  • Hematology & Oncology Physician
  • Burbank, IL
National Provider Identifier
1639196330
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036073809 Issued in IL
Practice address
4901 W 79TH St
Ste. 5
Burbank, IL 60459-1554
Phone
(708) 636-8741
Fax
(708) 636-8741
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036073809 IL Primary

Addresses

Primary practice location

4901 W 79TH St
Ste. 5
Burbank, IL 60459-1554

Mailing address

62647 Collection Center Dr
Chicago, IL 60693-0626
Phone (708) 424-9710

Other identifiers 3

IdentifierTypeStateIssuer
036073809MedicaidIL
216-22939OtherBLUE SHIELD
900004038OtherPALMETTO GBA

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
I20080613000495 IL Practitioner - Medical Oncology 2668543992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians

Practice addresses (Care Compare)

10604 Southwest Hwy
Suite 109
Chicago Ridge, IL 60415-2717
Phone (708) 424-9710

17750 S Kedzie Ave
Hazel Crest, IL 60429-2047
Phone (708) 799-9995

1890 Silver Cross Blvd
Suite 535
New Lenox, IL 60451-9582
Phone (708) 342-1900

3825 Highland Ave
Suite 307
Downers Grove, IL 60515-1562
Phone (708) 422-3242

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-5475

82 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 342-1900

Hospital & facility affiliations

  • Capital Hospice & Palliative Care LLC Hospice, Oakbrook Terrace, IL, CCN 141661
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Oncologists, LLC Hematology & Oncology CurrentSince Jan 3, 2012 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 1, 2011 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jul 1, 2011 Accepting new patients
Ahp Specialty Care NFP CurrentSince Mar 15, 2021 Accepting new patients
Southwest Medical Consultants, S.C. Hematology & Oncology Past Accepting new patients
Express Urgent Care LLC PastSince Sep 1, 2018 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

4901 W 79th St
Ste 5
Burbank, IL 60459
Phone (708) 952-4403

4901 W 79th St
#35
Burbank, IL 60459
Phone (708) 636-1177

62647 Collection Ctr Dr
Chicago, IL 60693
Phone (708) 478-4302

29373 Network Pl
Chicago, IL 60673

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 422-3242

10604 Southwest Hwy
Ste 200
Chicago Ridge, IL 60415
Phone (708) 634-4644

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

17850 Kedzie Ave
Ste 1500
Hazel Crest, IL 60429
Phone (708) 799-7780

19060 Everett Blvd
Unit 112
Mokena, IL 60448
Phone (708) 346-4040

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

4400 W 95th St
Ste 311
Oak Lawn, IL 60453

82 Orland Square Dr
Orland Park, IL 60462
Phone (224) 273-3590

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

Interoperability endpoints

  • Direct secure messaging: jayanthi.ramadurai@affiliatedoncologists.ikm.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1639196330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62647 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930626",
            "telephone_number": "708-424-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W 79TH ST",
            "address_2": "STE. 5",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591554",
            "telephone_number": "708-636-8741",
            "fax_number": "708-636-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMADURAI",
        "first_name": "JAYANTHI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036073809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073809",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "216-22939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "900004038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.