NPIMap

Organization Active NPI

Medplus, S.C.

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1770538753
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036095144 Issued in IL
Legal business name
MEDPLUS, S.C.
Practice address
9680 Golf Rd
Des Plaines, IL 60016-1522
Phone
(847) 699-0800
Fax
(847) 296-5686
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Rita Pamela Saldanha, M.D.NPI 1073560512
Title
President
Phone
(708) 987-3795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036095144 IL Primary

Addresses

Primary practice location

9680 Golf Rd
Des Plaines, IL 60016-1522

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (847) 699-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000080 IL Part B Supplier - Clinic/Group Practice 0749188928 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Hoffman Estates, IL; Hazel Crest, IL; Elk Grove Village, IL; Elgin, IL; Cicero, IL; Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

2310 York St
Ste 4D
Blue Island, IL 60406
Phone (708) 388-3022

3720 W 26th St
Chicago, IL 60623
Phone (773) 277-2225

4032 W Armitage Ave
Chicago, IL 60639
Phone (773) 645-8429

8700 S Dante Ave
Chicago, IL 60619
Phone (773) 221-3900

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1770538753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "847-699-0800",
            "fax_number": "847-296-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "847-699-0800",
            "fax_number": "847-296-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SALDANHA",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-987-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.