Organization Active NPI

MDRX Medical PC

  • Internal Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1821237199
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDRX MEDICAL PC
Practice address
17732 Oak Park Ave Ste E-F
Tinley Park, IL 60477-3934
Phone
(708) 404-2463
Fax
(708) 755-7851
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dr. Rakesh Chugh, MDNPI 1952455362
Title
MD
Phone
(708) 404-2463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17732 Oak Park Ave Ste E-F
Tinley Park, IL 60477-3934

Mailing address

17732 Oak Park Ave Ste E-F
Tinley Park, IL 60477-3934
Phone (708) 404-2463

Other identifiers 1

IdentifierTypeStateIssuer
036085688MedicaidIL

Other names 1

  • MDRX MEDICAL PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000748 IL Part B Supplier - Clinic/Group Practice 9335270776 Receives reassigned benefits from 1 practitioner
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

17732 Oak Park Ave
Ste Ef
Tinley Park, IL 60477
Phone (708) 755-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1821237199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE STE E-F",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-404-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE STE E-F",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-404-2463",
            "fax_number": "708-755-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDRX MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "CHUGH",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "708-404-2463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085688",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDRX MEDICAL PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.