NPIMap

Individual provider Active NPI

Meera George Madappallil, M.D.

  • Internal Medicine Physician
  • Oak Brook, IL
National Provider Identifier
1699721142
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036104910 Issued in IL
Practice address
2425 W 22ND St
Suite: 211
Oak Brook, IL 60523-1245
Phone
(630) 368-3909
Fax
(630) 368-3958
NPI assigned
May 26, 2006
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036104910 IL Primary

Addresses

Primary practice location

2425 W 22ND St
Suite: 211
Oak Brook, IL 60523-1245

Mailing address

8345 W Maynard Rd
Niles, IL 60714-1058
Phone (847) 983-4215

Other identifiers 3

IdentifierTypeStateIssuer
036104910MedicaidIL
209858OtherILMEDICARE PTAN FOR COOK COUNTY
209857OtherILMEDICARE PTAN FOR DUPAGE COUNTY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000077 IL Practitioner - Internal Medicine 6204738305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2425 W 22ND St
Suite 211
Oakbrook Terrace, IL 60523-1245

2425 W 22ND St
Suite 210
Oak Brook, IL 60523-4656
Phone (630) 368-3909

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
MGM Medical Associates, LTD. SC Internal Medicine CurrentSince Oct 1, 2004 Accepting new patients
Elmhurst Memorial Healthcare Past Accepting new patients
Mukesh K Ahluwalia PC Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

1221 E Golf Rd
Des Plaines, IL 60016
Phone (847) 768-1300

7733 W Grand Ave
Elmwood Park, IL 60707
Phone (708) 452-9200

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

2425 W 22nd St
Ste 210
Oak Brook, IL 60523
Phone (708) 499-9800

2425 W 22nd St
Ste 211
Oak Brook, IL 60523
Phone (630) 368-3909

Interoperability endpoints

  • Direct secure messaging: mmadappallil50864@direct.luhs.org

Organizations & group practices 4

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 11

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1699721142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 W MAYNARD RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141058",
            "telephone_number": "847-983-4215",
            "fax_number": "847-983-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE: 211",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231245",
            "telephone_number": "630-368-3909",
            "fax_number": "630-368-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAPPALLIL",
        "first_name": "MEERA",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036104910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104910",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR COOK COUNTY",
            "identifier": "209858",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR DUPAGE COUNTY",
            "identifier": "209857",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.