Active NPI
Sindhuja Harsha Vardhan, MD
- Pediatric Pulmonology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 036127684
- Practice address
- 1801 W Taylor St
Suite 2E
Chicago, IL 60612-4795 - Phone
- (312) 996-7416
- Fax
- (312) 413-8778
- NPI assigned
- May 1, 2008
- Last updated
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 036127684 | IL | Primary |
Addresses
Primary practice location
1801 W Taylor St
Suite 2E
Chicago, IL 60612-4795
Mailing address
910 S Michigan Ave
Apartment 1215
Chicago, IL 60605-2356
Phone (312) 413-9589
Other names 1
- Sindhuja Kannan
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036127684 | IL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
1801 W Taylor St
Ste 2E
Chicago, IL 60612
Phone (312) 996-7416
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
7732 Solution Ctr
Dept 3445 PEDS
Chicago, IL 60677
840 S Wood St
Chicago, IL 60612
Phone (312) 996-6043
840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429
Interoperability endpoints
- sharshavardhan17096@uihealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba University of Illinois Medical Center at Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
-
dba UIC Physician Group
- Internal Medicine Physician
- Chicago, IL
- NPI 1134118649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1639345598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S MICHIGAN AVE",
"address_2": "APARTMENT 1215",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052356",
"telephone_number": "312-413-9589",
"fax_number": "312-996-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"address_2": "SUITE 2E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795",
"telephone_number": "312-996-7416",
"fax_number": "312-413-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARSHA VARDHAN",
"first_name": "SINDHUJA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "IL",
"license": "036127684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SINDHUJA",
"last_name": "KANNAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.