Individual provider Active NPI

Shanmugavelayutham Ramasamy, M.D

  • Internal Medicine Physician
  • Woodridge, IL
National Provider Identifier
1730306358
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-052031 Issued in IL
Practice address
7933 Oakview LN
Woodridge, IL 60517-3742
Phone
(630) 730-2159
Fax
(630) 910-4674
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 036052036 IL
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036-052031 IL Primary

Addresses

Primary practice location

7933 Oakview LN
Woodridge, IL 60517-3742

Mailing address

7933 Oakview LN
Woodridge, IL 60517-3742
Phone (630) 730-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000115 IL Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Hematology/OncologyPractitioner - Medical Oncology 4385662493 Reassigns benefits to 1 organization
Practice locations: Woodridge, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology, Medical Oncology, Pulmonary Disease
Education
Other, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4709 Golf Rd
Skokie, IL 60076-1231
Phone (312) 687-9886

Hospital & facility affiliations

  • Pearl Palliative and Hospice Hospice, Crete, IL, CCN 141701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-052031ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cure Medcare LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Cardiovascular Consultants of Aurora, S.C. Single Specialty Past Accepting new patients
Star Medcare Group LLC Single Specialty PastSince Sep 1, 2024 Accepting new patients
Alm International Inc Single Specialty PastSince Feb 10, 2017 Accepting new patients
Home Visiting Doctors LLC Single Specialty Past Accepting new patients
American Mobile Physicians Inc Single Specialty PastSince Jun 16, 2016 Accepting new patients

Locations

4709 Golf Rd
Skokie, IL 60076
Phone (312) 687-9886

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1730306358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 OAKVIEW LN",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173742",
            "telephone_number": "630-730-2159",
            "fax_number": "630-910-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7933 OAKVIEW LN",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173742",
            "telephone_number": "630-730-2159",
            "fax_number": "630-910-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASAMY",
        "first_name": "SHANMUGAVELAYUTHAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036052036",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-052031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.