Individual provider Active NPI

Aditya A Dholakia, D.O.

  • Internal Medicine Physician
  • Maywood, IL
National Provider Identifier
1770715989
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125057087 Issued in IL
Practice address
2160 S 1St Ave
Luh North Entrance Room 7611a
Maywood, IL 60153-3328
Phone
(708) 216-6496
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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 125057087 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Luh North Entrance Room 7611a
Maywood, IL 60153-3328

Mailing address

211 E Ohio St Apt 1609
Chicago, IL 60611-3235
Phone (708) 212-3549

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
I20150602001631 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 2961723036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Gastroenterology LTDGroup PAC ID 8628047735, 22 clinicians

Practice addresses (Care Compare)

1243 Rickert Dr
Naperville, IL 60540-0954
Phone 6305276450150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.11 of 100Reported as group
Quality
92.94
Promoting interoperability
100
Improvement activities
40
Cost
67.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy127
Upper gastrointestinal (GI) endoscopy for acid reflux172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125057087ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Gastroenterology LTD CurrentSince Aug 1, 2016 Accepting new patients

Locations

39273 Treasury Ctr
Chicago, IL 60694

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

24600 W 127th St
Bldg B
Plainfield, IL 60585
Phone (815) 267-8825

Interoperability endpoints

  • Direct secure messaging: adholakia120737@direct.edward.org

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 6

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1770715989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E OHIO ST APT 1609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113235",
            "telephone_number": "708-212-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "LUH NORTH ENTRANCE ROOM 7611A",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOLAKIA",
        "first_name": "ADITYA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125057087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.