Active NPI
Natverlal B Surati, M.D.
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1649206988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-069532
- Practice address
- 1045 W Belmont Ave
Chicago, IL 60657-3327 - Phone
- (773) 248-8644
- Fax
- (773) 248-8723
- NPI assigned
- Jun 25, 2006
- Last updated
- Apr 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-069532 | IL | Primary |
Addresses
Primary practice location
1045 W Belmont Ave
Chicago, IL 60657-3327
Mailing address
1045 W Belmont Ave
Chicago, IL 60657-3327
Phone (773) 248-8644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069532 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-069532 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1649206988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573327",
"telephone_number": "773-248-8644",
"fax_number": "773-248-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573327",
"telephone_number": "773-248-8644",
"fax_number": "773-248-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURATI",
"first_name": "NATVERLAL",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-069532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069532",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Elizabeth Jane Suran, M.ED., LCPC, LMFT
- Amit Surapaneni
- Sushitha Suraparaju, M.P.T
- Suchitra Surapiboonchai, CRNA
- Hemantha M Surath, M.D
- Ann Surber
- Sure Care Pharmacy Incorporated (Surecare pharmacy inc.)
- Sure Start Developmental Services, Inc
- Sure Start Developmental Services, Inc.
- Sure Work Health Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.