Individual provider Active NPI

Vanitha Pushpa Asokan, MD

  • Physical Medicine & Rehabilitation Physician
  • Elk Grove Village, IL
National Provider Identifier
1760714703
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-126486 Issued in IL
Practice address
823 Sara CT
Elk Grove Village, IL 60007-2900
Phone
(423) 665-9272
Fax
(855) 329-2725
NPI assigned
Feb 1, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036-126486 IL Primary

Addresses

Primary practice location

823 Sara CT
Elk Grove Village, IL 60007-2900

Mailing address

823 Sara CT
Elk Grove Village, IL 60007-2900
Phone (423) 665-9272

Other practice location 1

1 Ingalls Dr, North Bldg
Harvey, IL 60426-3558
Phone (708) 915-4588

Other identifiers 2

IdentifierTypeStateIssuer
P01188933OtherILRR MEDICARE
036126486-2MedicaidIL

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
I20120706000328 IL Practitioner - Physical Medicine and Rehabilitation 3375708811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

26 W171 Roosevelt Rd
Wheaton, IL 60187-6002
Phone (630) 909-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-126486ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Dec 1, 2020 Accepting new patients
Advanced Rehabilitation Care, LLC Physical Medicine & Rehabilitation CurrentSince Aug 6, 2017 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 1, 2020 Accepting new patients
Medical Services Ric Physical Medicine & Rehabilitation Past Accepting new patients
Rehab and Health, LLC Physical Medicine & Rehabilitation PastSince Dec 12, 2017 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

345 E Superior St
Chicago, IL 60611
Phone (312) 238-1228

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

1 Ingalls Dr
#2
Harvey, IL 60426
Phone (708) 915-4588

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

26W171 Roosevelt Rd
Wheaton, IL 60187
Phone (630) 462-4000

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760714703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SARA CT",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072900",
            "telephone_number": "423-665-9272",
            "fax_number": "855-329-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SARA CT",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600072900",
            "telephone_number": "423-665-9272",
            "fax_number": "855-329-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ingalls Dr, North Bldg",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604263558",
            "country_code": "US",
            "telephone_number": "708-915-4588",
            "fax_number": "708-915-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASOKAN",
        "first_name": "VANITHA",
        "middle_name": "PUSHPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-126486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01188933",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126486-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.