Individual provider Active NPI

Ritika Paul, M.D.

  • Nephrology Physician
  • Olympia Fields, IL
National Provider Identifier
1801321807
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036159872 Issued in IL
Practice address
3302 Vollmer Rd
Olympia Fields, IL 60461-1179
Phone
(708) 898-0811
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036159872 IL Primary
Nephrology Physician 207RN0300X 01088712A IN

Addresses

Primary practice location

3302 Vollmer Rd
Olympia Fields, IL 60461-1179

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

Other practice location 1

757 E 81st Ave
Merrillville, IN 46410-5538
Phone (219) 472-0379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220624000014 IL Practitioner - Nephrology 4486910056 Reassigns benefits to 2 organizations
I20221027002167 IN Practitioner - Nephrology 4486910056 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036159872ILMDNephrology Physician
01088712AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Center Merrillville LLC Nephrology CurrentSince Nov 1, 2022 Accepting new patients

Locations

2315 E 93rd St
Ste 239
Chicago, IL 60617
Phone (219) 472-0379

757 E 81st Ave
Merrillville, IN 46410
Phone (219) 472-0379

200 E 80th Pl
Unit 2
Merrillville, IN 46410
Phone (219) 472-0379

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13093/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1801321807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171",
            "fax_number": "815-435-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 VOLLMER RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611179",
            "telephone_number": "708-898-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 E 81st Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105538",
            "country_code": "US",
            "telephone_number": "219-472-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "RITIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036159872",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01088712A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.