Active NPI
Renukadevi P Garla, MD
- Anesthesiology Physician
- Elgin, IL
National Provider Identifier
1881705846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036061638
- Practice address
- 934 Center St
Elgin, IL 60120-2125 - Phone
- (847) 742-9800
- NPI assigned
- Aug 31, 2006
- Last updated
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036061638 | IL | Primary |
Addresses
Primary practice location
934 Center St
Elgin, IL 60120-2125
Mailing address
5452 Reliable Parkway
Chicago, IL 60686-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061638 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036061638 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1881705846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5452 RELIABLE PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 CENTER ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601202125",
"telephone_number": "847-742-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLA",
"first_name": "RENUKADEVI",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036061638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061638",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.