Active NPI
Heartland Primary Care SC
- Internal Medicine Physician
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 336-071828
- Legal business name
- HEARTLAND PRIMARY CARE SC
- Practice address
- 215 Remington Blvd
Suite F
Bolingbrook, IL 60440-3662 - Phone
- (630) 378-4880
- Fax
- (630) 378-4481
- NPI assigned
- May 3, 2007
- Last updated
- Dec 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Srilakshmi Vemareddy, M.D
- Title
- Physician
- Phone
- (630) 854-3235
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 336-071828 | IL | Primary |
Addresses
Primary practice location
215 Remington Blvd
Suite F
Bolingbrook, IL 60440-3662
Mailing address
215 Remington Blvd
Suite F
Bolingbrook, IL 60440-3656
Phone (630) 378-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109580 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1069010 | Heartland Primary Care S C | Certificate of waiver | May 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
215 Remington Blvd
Ste F
Bolingbrook, IL 60440
Phone (630) 378-4480
420 N Schmidt Rd
Ste 210
Bolingbrook, IL 60440
Phone (630) 854-3235
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1215922398
-
- Family Medicine Physician
- Bolingbrook, IL
- NPI 1407049505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419984000000",
"number": "1871715227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 REMINGTON BLVD",
"address_2": "SUITE F",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604403656",
"telephone_number": "630-378-4880",
"fax_number": "630-378-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 REMINGTON BLVD",
"address_2": "SUITE F",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604403662",
"telephone_number": "630-378-4880",
"fax_number": "630-378-4481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND PRIMARY CARE SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2014-12-31",
"status": "A",
"authorized_official_last_name": "VEMAREDDY",
"authorized_official_first_name": "SRILAKSHMI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "630-854-3235",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "336-071828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "036109580",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
- Healthy Home Advantages, Inc. (Home Helpers 58632)
- Ann Bridget Healy, LCSW
- Hearing Choices Dba Jefferson Hearing Aid
- Hearing Choices, Inc. (Jefferson Hearing Aid Associates)
- Heart Rhythm Diagnostics LLC
- Gwen Heifner
- Leena D Hemrajani, PHARM D
- Cherie Lynn Hemsworth-Coffey, O.D.
- Abigail Hernandez Cruz, DPT
- Thomas Lee Hesselink, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.