Individual provider Active NPI

Deepti Kilaru, MBBS

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1710305750
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD468161 Issued in PA
Practice address
3400 Spruce St
5 Maloney
Philadelphia, PA 19104-4238
Phone
(215) 662-3797
NPI assigned
Apr 6, 2014
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 291363-1 NY
Internal Medicine Physician 207R00000X MD468161 PA Primary

Addresses

Primary practice location

3400 Spruce St
5 Maloney
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
5 Maloney
Philadelphia, PA 19104-4238
Phone (215) 662-3797

Other names 1

  • Deepti Nallan Chakravarti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171226000526 NY Practitioner - Internal Medicine 6305104290 Reassigns benefits to 3 organizations
I20190807002299 PA Practitioner - Internal Medicine 6305104290 Reassigns benefits to 1 organization
I20230209002583 IL Practitioner - Critical Care (Intensivists) 6305104290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory, Critical Care and Sleep Specialists, LLCGroup PAC ID 8729302054, 9 clinicians

Practice addresses (Care Compare)

1400 E Golf Rd
Suite 201
Des Plaines, IL 60016-8821
Phone (847) 376-8969

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291363NYMDLicensed Practical Nurse
291363-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Internal Medicine Current Accepting new patients
New York University Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
New York University Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
University of Penn-Medical Group Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Critical Care Physicians of Illinois LLC CurrentSince Oct 29, 2022 Accepting new patients
Respiratory, Critical Care and Sleep Specialists, LLC Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
24 On Physicians, PC CurrentSince Jan 1, 2018 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 1, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2019 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients

Locations

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

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

5600 W Addison St
Ste 306
Chicago, IL 60634
Phone (773) 283-8664

5600 W Addison St
Ste 503
Chicago, IL 60634
Phone (773) 282-5299

1400 E Golf Rd
Ste 201
Des Plaines, IL 60016
Phone (847) 298-3338

1400 E Golf Rd
Ste 211
Des Plaines, IL 60016
Phone (847) 635-1005

3 Erie Ct
Ste 7010
Oak Park, IL 60302
Phone (708) 763-6731

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

3400 Spruce St
Fl 5
Philadelphia, PA 19104
Phone (215) 662-2777

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDCA

Organizations & group practices 10

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 3

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": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1710305750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "5 MALONEY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "5 MALONEY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILARU",
        "first_name": "DEEPTI",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "291363-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD468161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPTI",
            "last_name": "NALLAN CHAKRAVARTI",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.