Individual provider Active NPI

Saritha Vankana, M.D.

  • Internal Medicine Physician
  • Maywood, IL
National Provider Identifier
1740284504
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-098715 Issued in IL
Practice address
1516 W Madison
Maywood, IL 60153
Phone
(708) 343-6450
NPI assigned
Jun 9, 2005
Reactivated
Apr 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 036-098715 IL Primary

Addresses

Primary practice location

1516 W Madison
Maywood, IL 60153

Mailing address

6529 Middlecoff CT
Woodridge, IL 60517-1487
Phone (630) 886-3209

Other identifiers 1

IdentifierTypeStateIssuer
036098715MedicaidIL

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
I20100521000736 IL Practitioner - Internal Medicine 3375672827 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

Practice addresses (Care Compare)

1516 Madison St
Maywood, IL 60153-1824
Phone (708) 343-6450

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-098715ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saritha Vankana MDSC Internal Medicine CurrentSince Jan 3, 2001 Accepting new patients

Locations

1516 Madison St
Maywood, IL 60153
Phone (708) 343-6450

Interoperability endpoints

  • Direct secure messaging: svankana@sarithavankanamdsc.amazing-direct.com

Organizations & group practices 1

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 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1740284504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 MIDDLECOFF CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171487",
            "telephone_number": "630-886-3209",
            "fax_number": "708-330-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W MADISON",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-343-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKANA",
        "first_name": "SARITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-098715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098715",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.