Nani Internal Med LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NANI INTERNAL MED LLC

Practice address

6438 Joliet Rd Ste 203
Countryside, IL 60525-4624

Phone

(708) 352-5222

NPI assigned

Sep 26, 2018

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Manish TannaNPI 1821096470

Title

President

Phone

(630) 573-5000

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18778/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rudolph Albores, MD

  • Internal Medicine Physician
  • Westmont, IL
  • NPI 1285692889
  Medicare reassignment Care Compare group NPD
• Christopher Brenner, MD

  • Family Medicine Physician
  • Countryside, IL
  • NPI 1629020102
  Medicare reassignment Care Compare group NPD
• Jacqueline J Celmer, FNP

  • Family Nurse Practitioner
  • Countryside, IL
  • NPI 1811245178
  Medicare reassignment Care Compare group NPD
• David Sachtleben, MD

  • Internal Medicine Physician
  • Westmont, IL
  • NPI 1861450447
  Medicare reassignment Care Compare group NPD
• Gerald Simon, MD

  • Internal Medicine Physician
  • Countryside, IL
  • NPI 1861450330
  Medicare reassignment Care Compare group NPD
• Manish Tanna, MD

  • Nephrology Physician
  • Mount Prospect, IL
  • NPI 1821096470
  Authorized official Same address or phone

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1740765700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231557",
            "telephone_number": "630-974-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 JOLIET RD STE 203",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254624",
            "telephone_number": "708-352-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 63rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605162000",
            "country_code": "US",
            "telephone_number": "331-775-2783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231557",
            "country_code": "US",
            "telephone_number": "630-974-5216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 N Cass Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591745",
            "country_code": "US",
            "telephone_number": "630-963-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NANI INTERNAL MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-573-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Moore
• Julie Morgan
• Neda Mraovic, A.A.S.SLPA/L
• Josef Nagy, RAH
• Nai Annie Walter DDS,PC
• National Seating & Mobility Inc
• Karen Nekolny-Smith, PSY. D.
• Katrina Nesom
• Talia Anson Neuhaus, OTD, OTR/L
• Next Step Physical Therapy PLLC

• Internal Medicine Physician in Countryside, IL
• Providers in Countryside, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.