Organization Active NPI

Vraj, LTD

  • Pulmonary Disease Physician
  • Chicago, IL
National Provider Identifier
1669486635
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
VRAJ, LTD
Practice address
2315 E 93Rd St Ste 237
Chicago, IL 60617-3919
Phone
(847) 768-8925
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Naresh K Upadhyay, MDNPI 1326052309
Title
Owner
Phone
(219) 852-0197

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 237
Chicago, IL 60617-3919

Mailing address

10547 Misty Hill Rd
Orland Park, IL 60462-7439
Phone (219) 852-0197

Other practice location 1

1479 Ring Rd
Calumet City, IL 60409-5459
Phone (773) 768-8925

Other identifiers 3

IdentifierTypeStateIssuer
01606600OtherILBLUE CROSS/SHIELD
000095707OtherINANTHEM
K36165OtherILMEDICARE INDIVIDUAL PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070406000057 IL Part B Supplier - Clinic/Group Practice 5395849053 Receives reassigned benefits from 1 practitioner
Practice locations: Calumet City, IL; Chicago, IL
O20071009000146 IN Part B Supplier - Clinic/Group Practice 5395849053 Receives reassigned benefits from 1 practitioner
Practice locations: Dyer, IN

National Provider Directory

National Provider Directory

Locations

5500 Hohman Ave
Ste 1E
Hammond, IN 46320
Phone (219) 852-0197

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1669486635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10547 MISTY HILL RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627439",
            "telephone_number": "219-852-0197",
            "fax_number": "219-937-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 237",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173919",
            "telephone_number": "847-768-8925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1479 Ring Rd",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604095459",
            "country_code": "US",
            "telephone_number": "773-768-8925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VRAJ, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "NARESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-852-0197",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "01606600",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000095707",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "K36165",
            "state": "IL"
        }
    ],
    "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 Oct 16, 2024; 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.