Individual provider Active NPI

Sreedevi Chittineni, M.D.

  • Nephrology Physician
  • Evergreen Park, IL
National Provider Identifier
1871532796
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036109185 Issued in IL
Practice address
3358 W 95TH St
Evergreen Park, IL 60805
Phone
(708) 952-3040
Fax
(708) 952-3043
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036109185 IL Primary

Addresses

Primary practice location

3358 W 95TH St
Evergreen Park, IL 60805

Mailing address

210 S Desplaines St
Chicago, IL 60661-5500
Phone (312) 654-2700

Other identifiers 1

IdentifierTypeStateIssuer
036109185MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address schittineni276204@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060621000364 IL Practitioner - NephrologyPractitioner - Internal Medicine 2163434895 Reassigns benefits to 1 organization
I20260108000741 IN Practitioner - Nephrology 2163434895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Nephrology SCGroup PAC ID 9133023963, 52 clinicians

Practice addresses (Care Compare)

314 Ridge Rd
Munster, IN 46321-1528
Phone (219) 836-9317

3358 W 95TH St
Evergreen Park, IL 60805-2236
Phone (708) 952-3040

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 425-8000

4811 W 77TH St
Burbank, IL 60459-1586
Phone (708) 229-0896

825 W 35TH St
Chicago, IL 60609-1511
Phone (312) 654-2744

8710 S Holland Ave
FMC Chatham Dialysis
Chicago, IL 60620-1332
Phone (773) 723-2536

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, S.C. Nephrology CurrentSince Jul 10, 2006 Accepting new patients

Locations

4026 Paysphere Cir
Chicago, IL 60674

825 W 35th St
Chicago, IL 60609
Phone (773) 890-4330

3358 W 95th St
Evergreen Park, IL 60805

9730 S Western Ave
Ste 326
Evergreen Pk, IL 60805
Phone (708) 346-7340

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

9108 Columbia Ave
#B
Munster, IN 46321
Phone (219) 595-5412

314 Ridge Rd
Munster, IN 46321
Phone (219) 789-1169

Interoperability endpoints

  • Direct secure messaging: schittineni18470@direct.acumenmd.com

Organizations & group practices 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1871532796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2700",
            "fax_number": "312-654-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-952-3040",
            "fax_number": "708-952-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTINENI",
        "first_name": "SREEDEVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036109185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109185",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schittineni276204@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9730 S Western Ave",
            "address_2": "Suite 326",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608052814",
            "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": "9730 S Western Ave",
            "address_2": "Suite 326",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608052814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.