Active NPI
Meenakshi C Medler, PA-C
- Physician Assistant
- Hinsdale, IL
National Provider Identifier
1821328626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 036046187
- Practice address
- 15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926 - Phone
- (630) 371-0133
- Fax
- (630) 371-0138
- NPI assigned
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 036046187 | IL | Primary |
Addresses
Primary practice location
15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926
Mailing address
15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926
Phone (630) 371-0133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036046187 | IL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1821328626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SALT CREEK LN",
"address_2": "SUITE 111",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212926",
"telephone_number": "630-371-0133",
"fax_number": "630-371-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SALT CREEK LN",
"address_2": "SUITE 111",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212926",
"telephone_number": "630-371-0133",
"fax_number": "630-371-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLER",
"first_name": "MEENAKSHI",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "036046187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.