Individual provider Active NPI

Haritha Dukkipati, M.D.

  • Diagnostic Radiology Physician
  • Park Ridge, IL
National Provider Identifier
1811289424
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036.143074 Issued in IL
Practice address
1775 Dempster St
Park Ridge, IL 60068-1143
Phone
(847) 803-1000
NPI assigned
May 15, 2011
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 036.143074 IL
Diagnostic Radiology Physician 2085R0202X 036.143074 IL Primary

Addresses

Primary practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Mailing address

25 E Superior St
Unit 3301
Chicago, IL 60611-2547
Phone (989) 415-6637

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-4000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hdukkipati251877@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 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
I20170711001801 IL Practitioner - Diagnostic Radiology 3678867041 Reassigns benefits to 11 organizations
I20231026000596 TX Practitioner - Diagnostic Radiology 3678867041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians
VHS San Antonio Imaging Partners LPGroup PAC ID 5395723787, 69 clinicians
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians
Resilience Healthcare - Lakefront Medical Associates LLCGroup PAC ID 5991046468, 37 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1740 W Taylor St
Chicago, IL 60612-7232

1801 W Taylor St
Chicago, IL 60612-4795

20530 N Rand Rd
350 Simonmed Imaging Deer Park
Deer Park, IL 60010-7238
Phone (847) 550-6740

215 E Quincy St
Suite 100
San Antonio, TX 78215-2032
Phone (210) 351-0784

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

3 Eire CT
Oak Park, IL 60302-2519
Phone (773) 564-5102

3846 Medford Cir
Northbrook, IL 60062-3004
Phone (480) 306-6949

5525 S Pulaski Rd
Chicago, IL 60629-4400
Phone (312) 996-2779

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.143074ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Dec 16, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Body Imaging CurrentSince Dec 16, 2024 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Sep 23, 2024 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Jan 13, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jun 15, 2023 Accepting new patients
Cook County Current Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Jul 17, 2014 Accepting new patients
Advanced Radiology Consultants SC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
DRH & Associates, Inc CurrentSince Aug 1, 2025 Accepting new patients
Cook County Diagnostic Radiology CurrentSince Oct 25, 2024 Accepting new patients
Cook County CurrentSince Oct 25, 2024 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Jan 13, 2025 Accepting new patients
Synergy Radiology Associates PLLC Body Imaging CurrentSince Feb 12, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

8310 W Camelback Rd
Glendale, AZ 85305
Phone (480) 307-9610

251 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 322-6900

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

1901 W Harrison St
Chicago, IL 60612

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Interoperability endpoints

  • Direct secure messaging: hdukkipati251877@direct.myadvocateaurora.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 10

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": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1811289424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SUPERIOR ST",
            "address_2": "UNIT 3301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112547",
            "telephone_number": "989-415-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-803-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-355-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKKIPATI",
        "first_name": "HARITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-15",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": "036.143074",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.143074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdukkipati251877@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.