NPIMap

Organization Active NPI

Trivedimd LLC

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1639735608
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
TRIVEDIMD LLC
Practice address
1605 S Michigan Ave Unit 1
Chicago, IL 60616-1209
Phone
(312) 535-5770
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Manan Trivedi, MDNPI 1194067298
Title
President
Phone
(630) 533-4028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1605 S Michigan Ave Unit 1
Chicago, IL 60616-1209

Mailing address

16 N Carpenter St Unit 4S
Chicago, IL 60607-2199
Phone (630) 533-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190815003152 IL Part B Supplier - Clinic/Group Practice 0244567063 Receives reassigned benefits from 20 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1605 S Michigan Ave
Unit 1
Chicago, IL 60616
Phone (312) 535-5770

1605 S Michigan Ave
Ste B
Chicago, IL 60616
Phone (312) 535-5770

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1639735608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N CARPENTER ST UNIT 4S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072199",
            "telephone_number": "630-533-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S MICHIGAN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161209",
            "telephone_number": "312-535-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVEDIMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "MANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-533-4028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.