Active NPI
Haritha Dukkipati, M.D.
- Diagnostic Radiology Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036.143074
- Practice address
- 1775 Dempster St
Park Ridge, IL 60068-1143 - Phone
- (847) 803-1000
- NPI assigned
- May 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 43
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.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
Diagnostic Radiology, IL
-
- General Practice Physician
- Chicago, IL
- NPI 1205301926
IL
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1457350993
TX
-
- Diagnostic Radiology Physician
- Park Ridge, IL
- NPI 1750380119
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Park Ridge, IL
- NPI 1700285335
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Diagnostic Radiology, IL, TX
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, IL
-
- Body Imaging Physician
- Houston, TX
- NPI 1902802986
Body Imaging, IL
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1619442266
Hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
Hospital
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
- The Board of Trustees of the University of IllinoisHoward Simon MD PLLCVHS San Antonio Imaging Partners LPSaint Anthony Health AffiliatesResilience Healthcare - Lakefront Medical Associates LLCSmi Imaging LLC
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
- University of Illinois Hospital and Clinics
- West Suburban Medical Center
- Saint Anthony Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170711001801 | IL | Practitioner - Diagnostic Radiology | 3678867041 | Reassigns benefits to 11 organizations |
| I20231026000596 | TX | Practitioner - Diagnostic Radiology | 3678867041 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.143074 | IL | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Saint Anthony Health Affiliates | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Saint Anthony Health Affiliates | Current | Accepting new patients | |
| Resilience Healthcare - Lakefront Medical Associates, LLC | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Cook County | Diagnostic Radiology | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Body Imaging | Current | Accepting new patients |
| Advanced Radiology Consultants SC | Diagnostic Radiology | Current | Accepting new patients |
| Synergy Radiology Associates PLLC | Body Imaging | Current | Accepting new patients |
| Integrated Imaging Consultants LLC | Diagnostic Radiology | Current | Accepting new patients |
| DRH & Associates, Inc | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Community Radiology Associates P a | Diagnostic Radiology | Past | Accepting new patients |
| Synergy Radiology Associates | Past | Accepting new patients |
Locations
8310 W Camelback Rd
Glendale, AZ 85305
Phone (480) 307-9610
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540
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
#931
Chicago, IL 60612
Phone (312) 355-5258
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
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
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 036.143074 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036.143074 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hdukkipati251877@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2024.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.