NPIMap

Organization Active NPI

Southwest Medical Consultants, S.C.

  • Hematology & Oncology Physician
  • Willowbrook, IL
National Provider Identifier
1871780304
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036046355 Issued in IL
Legal business name
SOUTHWEST MEDICAL CONSULTANTS, S.C.
Practice address
6853 Kingery Hwy
Willowbrook, IL 60527-5114
Phone
(630) 230-0510
NPI assigned
Sep 28, 2007
Organization subpart
Yes
Parent organization
SOUTHWEST MEDICAL CONSULTANTS, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
S Venkataraman, MDNPI 1154347748
Title
President
Phone
(708) 636-1818

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 036046355 IL Primary

Addresses

Primary practice location

6853 Kingery Hwy
Willowbrook, IL 60527-5114

Mailing address

PO Box 388320
Chicago, IL 60638-8320
Phone (773) 767-8283

Other identifiers 3

IdentifierTypeStateIssuer
31601474OtherILBLUE SHIELD
211195OtherILMEDICARE
6012510001OtherILDMERC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address subramanianvenkataraman@swmc.allscriptsdirect.net Direct
FHIR URL https://fhir.prosuite.allscriptscloud.com/fhirroute/fhir/61026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050316000387 IL Part B Supplier - Clinic/Group Practice 7517912165 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Willowbrook, IL; Oak Lawn, IL; Elmhurst, IL; La Grange, IL; Evergreen Park, IL; Downers Grove, IL; Bolingbrook, IL; Blue Island, IL…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Southwest Medical Consu

Locations

10458 S Pulaski Rd
Oak Lawn, IL 60453
Phone (708) 425-6170

7230 171st St
Unit 187
Tinley Park, IL 60477

Interoperability endpoints

  • Direct secure messaging: subramanianvenkataraman@swmc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1871780304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "773-767-8283",
            "fax_number": "773-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275114",
            "telephone_number": "630-230-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL CONSULTANTS, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST MEDICAL CONSULTANTS, S.C.",
        "enumeration_date": "2007-09-28",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "VENKATARAMAN",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036046355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "31601474",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "211195",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6012510001",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "subramanianvenkataraman@swmc.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6853 Kingery Hwy",
            "city": "Willowbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605275114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.prosuite.allscriptscloud.com/fhirroute/fhir/61026",
            "affiliation": "N",
            "address_1": "6853 Kingery Hwy",
            "city": "Willowbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605275114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.