Active NPI
Venkata Buddharaju, M.D., F.C.C.P.
- Critical Care Medicine (Internal Medicine) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036089871
- Practice address
- 840 W Irving Park Rd
305
Chicago, IL 60613 - Phone
- (773) 975-6775
- Fax
- (773) 975-1089
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-089871 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036089871 | IL | Primary |
Addresses
Primary practice location
840 W Irving Park Rd
305
Chicago, IL 60613
Mailing address
2180 De Cook Ave
Park Ridge, IL 60068-1538
Phone (773) 505-3071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635515 | Other | IL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2180 De Cook Ave
Park Ridge, IL 60068-1538
850 W Irving Park Rd
Thorek Memorial Hospital
Chicago, IL 60613-3077
Phone (773) 975-6775
Hospital & facility affiliations
- Thorek Memorial Hospital
- Presence Saint Joseph Hospital - Chicago
- Northwestern Medicine Central Dupage Hospital
- Kindred Hospital - Chicago
Merit-based Incentive Payment System (MIPS)
- Final score
- 16.87 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 56.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-089871 | IL | MD | Internal Medicine Physician |
| 036089871 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Lakeview Pulmonary & Sleep Consultants LTD | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Thorek Radiology Group NFP | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
840 W Irving Park Rd
#305
Chicago, IL 60613
Phone (773) 447-0200
820 W Lawrence Ave
Chicago, IL 60640
Phone (773) 769-2570
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
3240 W Franklin Blvd
Chicago, IL 60624
Phone (773) 722-3020
550 W Webster Ave
Chicago, IL 60614
Phone (773) 883-1220
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1073525234
-
- Critical Care Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1821641499
-
- Critical Care Medicine (Internal Medicine) Physician
- Kankakee, IL
- NPI 1174320873
-
- Critical Care Medicine (Internal Medicine) Physician
- Belleville, IL
- NPI 1386002368
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1588261978
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Long Term Care Hospital
- Northlake, IL
- NPI 1508472804
Long-term care hospital
-
- Long Term Care Hospital
- Chicago, IL
- NPI 1821604125
Long-term care hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982643961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1790737781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 DE COOK AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681538",
"telephone_number": "773-505-3071",
"fax_number": "773-975-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 W IRVING PARK RD",
"address_2": "305",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60613",
"telephone_number": "773-975-6775",
"fax_number": "773-975-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDDHARAJU",
"first_name": "VENKATA",
"credential": "M.D., F.C.C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-089871",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036089871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01635515",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.