Individual provider Active NPI

Madhuri R Yemul, M.D.

  • Family Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1831235209
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101657 Issued in IL
Practice address
329 Remington Blvd Ste 200
Bolingbrook, IL 60440-5817
Phone
(630) 759-4800
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036101657 IL Primary

Addresses

Primary practice location

329 Remington Blvd Ste 200
Bolingbrook, IL 60440-5817

Mailing address

329 Remington Blvd Ste 200
Bolingbrook, IL 60440-5817
Phone (630) 759-4800

Other identifiers 1

IdentifierTypeStateIssuer
036101652MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address madhuri.yemul.1@380.direct.athenahealth.com
Direct Messaging Address madhuri.yemul.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000086 IL Practitioner - Family Practice 9830144377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Home Care Home health agency, La Grange, IL, CCN 147207
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Edward Hospital Hospital, Naperville, IL, CCN 140231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101657ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc CurrentSince Mar 1, 2014 Accepting new patients
Adventist Health Partners,Inc Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

329 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 312-6550

329 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 226-1380

24024 Brancaster Dr
Naperville, IL 60564
Phone (630) 357-8700

Interoperability endpoints

  • Direct secure messaging: madhuri.yemul.1@380.direct.athenahealth.com
  • Direct secure messaging: myemul1709190@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1831235209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 REMINGTON BLVD STE 200",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405817",
            "telephone_number": "630-759-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 REMINGTON BLVD STE 200",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405817",
            "telephone_number": "630-759-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMUL",
        "first_name": "MADHURI",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101652",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madhuri.yemul.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "329 Remington Blvd Ste 100",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604405894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madhuri.yemul.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "329 Remington Blvd Ste 200",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604405817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.