NPIMap

Organization Active NPI

Bartlett Medical Associates SC

  • Internal Medicine Physician
  • Bartlett, IL
National Provider Identifier
1740539220
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036128479 Issued in IL
Legal business name
BARTLETT MEDICAL ASSOCIATES SC
Practice address
385 Bartlett PLZ
Bartlett, IL 60103-4234
Phone
(630) 289-6024
Fax
(630) 289-8400
NPI assigned
Aug 30, 2012
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Marionette S Jayaprakash, MD
Title
Physician
Phone
(630) 289-6024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036128479 IL Primary

Addresses

Primary practice location

385 Bartlett PLZ
Bartlett, IL 60103-4234

Mailing address

385 Bartlett PLZ
Bartlett, IL 60103-4234
Phone (630) 289-6024

National Provider Directory

National Provider Directory

Locations

385 Bartlett Plz
Bartlett, IL 60103
Phone (630) 289-6024

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1740539220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BARTLETT PLZ",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034234",
            "telephone_number": "630-289-6024",
            "fax_number": "630-289-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BARTLETT PLZ",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034234",
            "telephone_number": "630-289-6024",
            "fax_number": "630-289-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT MEDICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "JAYAPRAKASH",
        "authorized_official_first_name": "MARIONETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-289-6024",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036128479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.