Kochurani J Maliekel, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

2018005701 Issued in MO

Practice address

3851 N Oakley Ave
Chicago, IL 60618

Phone

(314) 496-4861

NPI assigned

Jun 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kochurani.maliekel.p1@direct.ctca-clinic.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IBGCAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Hematology Oncology Group Inc.

  • Medical Oncology Physician
  • Centralia, IL
  • NPI 1962698837
  NPD (past)
• University Hematology Oncology Inc

  • Oncology Clinic/Center
  • Centralia, IL
  • NPI 1023293776
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1699777813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183813",
            "telephone_number": "314-496-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60618",
            "telephone_number": "314-496-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Wolf Creek Dr",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622262355",
            "country_code": "US",
            "telephone_number": "618-222-9566",
            "fax_number": "618-222-9585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Kisker Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633048786",
            "country_code": "US",
            "telephone_number": "636-442-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIEKEL",
        "first_name": "KOCHURANI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036-085939",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2018005701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085939",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "K07739",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmaliekel82010@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kmaliekel82010@direct-ehr-ssmhc.com",
            "address_1": "1475 Kisker Rd Ste 180",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633048786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1475 Kisker Rd Ste 180",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633048786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rohit Malhotra, M.D.
• Sungun Malhotra, CRC, LPC
• Jose Vencedor Garcia Malicdem
• Janell Malichky
• Allison Nicole Malick, MD
• Abdul Kamal Malik Zada
• Malik Zayed DPM
• Isha Malik-Ismail, PHARMD
• Amir Malik, MD
• Aneeqa Angela Malik, D.D.S.

• Hematology & Oncology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.