Individual provider Active NPI

Ajay Parikh, MD,FACC

  • Cardiovascular Disease Physician
  • Hazel Crest, IL
National Provider Identifier
1679566400
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-067986 Issued in IL
Practice address
17850 Kedzie Ave
Hazel Crest, IL 60429-2058
Phone
(708) 799-8700
Fax
(708) 957-1830
NPI assigned
Aug 26, 2005
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-067986 IL Primary

Addresses

Primary practice location

17850 Kedzie Ave
Hazel Crest, IL 60429-2058

Mailing address

17850 Kedzie Ave Ste 3250
Hazel Crest, IL 60429-2082
Phone (708) 799-8700

Other identifiers 4

IdentifierTypeStateIssuer
CI8250OtherILPALMETTO GBA GROUP #
060053841OtherILPALMETTO GBA INDIVIDUAL #
21622931OtherILBCBS GROUP #
036067986MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aparikh205256@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct

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
I20040909000112 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335137009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11800 Southwest Hwy
Palos Heights, IL 60463-1065
Phone (708) 952-7444

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 684-5340

17850 Kedzie Ave
Suite 3500
Hazel Crest, IL 60429-2082
Phone (708) 575-4415

18210 S Lagrange Rd
200 Advocate Med Group
Tinley Park, IL 60487-7725
Phone (708) 479-6636

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

4440 W 95TH St
Oak Lawn, IL 60453-2600

9550 W 167TH St
Orland Park, IL 60467-5561

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-067986ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince May 21, 2012 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince May 21, 2012 Accepting new patients
High Technology, Inc. PastSince Sep 1, 2006 Accepting new patients
Midamerica Cardiovascular Consultants, LTD Cardiovascular Disease Past Accepting new patients
Tinley Orland Medical Center LLC Past Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

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

29373 Network Pl
Chicago, IL 60673

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

17850 Kedzie Ave
Ste 3250
Hazel Crest, IL 60429
Phone (708) 779-8700

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

10837 S Cicero Ave
Ste 200
Oak Lawn, IL 60453
Phone (708) 346-7297

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

11800 Southwest Hwy
Ste 110
Palos Heights, IL 60463
Phone (708) 361-0220

12400 S Harlem Ave
Ste 110
Palos Heights, IL 60463
Phone (312) 563-9389

18210 La Grange Rd
Ste 210
Tinley Park, IL 60487
Phone (708) 342-7990

Interoperability endpoints

  • Direct secure messaging: aparikh205256@direct.myadvocateaurora.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1679566400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE STE 3250",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292082",
            "telephone_number": "708-799-8700",
            "fax_number": "708-957-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-799-8700",
            "fax_number": "708-957-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "MD,FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-067986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP #",
            "identifier": "CI8250",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA INDIVIDUAL #",
            "identifier": "060053841",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "21622931",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067986",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aparikh205256@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "17850 Kedzie Ave",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17850 Kedzie Ave",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.