Nani Internal Med Aco, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NANI INTERNAL MED ACO, LLC

Doing business as

NANI Internal Med ACO, LLC

Practice address

412 63Rd St Ste 100
Downers Grove, IL 60516-2000

Phone

(331) 775-2783

NPI assigned

Jul 21, 2021

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manish Tanna, MDNPI 1821096470

Title

President

Phone

(847) 606-6231

Specialties & licenses 2

Addresses

Other names 1

• NANI Internal Med ACO, LLC Doing business as

Electronic endpoints 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manish Tanna, MD

  • Nephrology Physician
  • Mount Prospect, IL
  • NPI 1821096470
  NPD (past) Authorized official
• Christopher Brenner, MD

  • Family Medicine Physician
  • Countryside, IL
  • NPI 1629020102
  NPD
• Jacqueline J Celmer, FNP

  • Family Nurse Practitioner
  • Countryside, IL
  • NPI 1811245178
  NPD
• Gerald Simon, MD

  • Internal Medicine Physician
  • Countryside, IL
  • NPI 1861450330
  NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1699348342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-575-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 63RD ST STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162000",
            "telephone_number": "331-775-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANI INTERNAL MED ACO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-606-6231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "credentialing@nephdocs.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NANI Internal Med ACO, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manan Ashvin Naik, D.O
• Sonia Singh Nain, M.D.
• Najeeb M. Abufarha, DMD, PLLC
• Namaste Wellness Center
• Nancy a. Congdon, M.S., P.C. (The Hearing Care Clinic)
• Karl Michael Napekoski, M.D.
• Naper Grove Vision Care, P.C. (Naper Grove Vision Care)
• Ramya Narayanan, M.D.
• Mohammed Nasaruddin, MD
• Alexandra Nicole Nash, DMD

• Medical Specialty Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.