Active NPI
Deepti Kilaru, MBBS
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD468161
- Practice address
- 3400 Spruce St
5 Maloney
Philadelphia, PA 19104-4238 - Phone
- (215) 662-3797
- NPI assigned
- Apr 6, 2014
- Last updated
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 291363 | NY | MD | Licensed Practical Nurse |
| 291363-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| University of Penn-Medical Group | Internal Medicine | Current | Accepting new patients |
| Critical Care Physicians of Illinois LLC | Current | Accepting new patients | |
| Respiratory, Critical Care and Sleep Specialists, LLC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Cogent Medical Care PC | Internal Medicine | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1568887354
Internal Medicine
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
Internal Medicine
-
- Hospitalist Physician
- Far Rockaway, NY
- NPI 1578781787
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- Critical Care Medicine (Internal Medicine) Physician
- Aurora, IL
- NPI 1508134966
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1386751089
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community First Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1033214416
-
dba West Suburban Medical Center
- General Acute Care Hospital
- Oak Park, IL
- NPI 1619442266
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.