NPIMap

Individual provider Active NPI

Amit D Vyas, MD SC

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1861591356
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036084893 Issued in IL
Practice address
2315 E 93Rd St Ste 236
Chicago, IL 60617-3984
Phone
(773) 221-2700
Fax
(773) 221-5701
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 01045391A IN
Interventional Cardiology Physician 207RI0011X 036084893 IL Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 236
Chicago, IL 60617-3984

Mailing address

1917 Midwest Club Pkwy
Oak Brook, IL 60523-2525
Phone (219) 992-9737

Other identifiers 4

IdentifierTypeStateIssuer
364274312OtherILTAX ID
036084893MedicaidIL
200493200AMedicaidIN
364274312OtherINTAX ID

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address AMITVYASDR@direct.practicefusion.com Direct
Direct Messaging Address amitvyasdr@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000191 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375574148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Illinois Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians
Lumen Cardiovascular Specialists, LTDGroup PAC ID 0446490346, 3 clinicians

Practice addresses (Care Compare)

140 -183 Addison
Suite 130
Elmhurst, IL 60126
Phone (331) 221-1000

155 E Brush Hill Rd
Elmhurst, IL 60126-5658

183 N Addison Ave
170 Lumen Cardiovascular Specialists LTD
Elmhurst, IL 60126-2771
Phone (630) 869-0888

2315 E 93Rd St
Suite 237
Chicago, IL 60617-3919
Phone (773) 221-2700

303 W Lake St
Suite 301
Addison, IL 60101-2565
Phone (331) 221-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.57 of 100Reported as individual
Quality
77.72
Improvement activities
40
Cost
81.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01045391AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Cardiovascular Specialists,LTD CurrentSince Dec 23, 2022 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Jun 27, 2023 Accepting new patients
PMR Illinois Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

340 W Butterfield Rd
Ste 3A
Elmhurst, IL 60126
Phone (630) 869-0888

19310 S Halsted St
Glenwood, IL 60425
Phone (708) 300-3132

675 W North Ave
Ste 309
Melrose Park, IL 60160
Phone (312) 654-2744

6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831

Interoperability endpoints

  • Direct secure messaging: amit.vyas.1@6901.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6901/brand/1/csg/1/fhir/r4
  • Direct secure messaging: avyas229894@direct.luhs.org

Organizations & group practices 5

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 9

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1861591356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232525",
            "telephone_number": "219-992-9737",
            "fax_number": "219-992-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 236",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173984",
            "telephone_number": "773-221-2700",
            "fax_number": "773-221-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "AMIT",
        "middle_name": "D",
        "credential": "MD SC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01045391A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036084893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364274312",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084893",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200493200A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364274312",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMITVYASDR@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2315 E 93rd St Ste 236",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amitvyasdr@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "2315 E 93rd St Ste 236",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.