T S Neelakantam, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1240 N Highland Avenue
Suite 22
Aurora, IL 60506

Phone

(630) 844-1818

Fax

(630) 844-1429

NPI assigned

Nov 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Trichinapally S Neelakantam MD S C

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1124002290
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1881875136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061450",
            "telephone_number": "630-844-1818",
            "fax_number": "630-844-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HIGHLAND AVENUE",
            "address_2": "SUITE 22",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-844-1818",
            "fax_number": "630-844-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELAKANTAM",
        "first_name": "T",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NBC Wellness & Stretch
• Vivian Adeck Ndangoh-Tendong, DNP
• Fuhrer Kah Ndokoh, R.N.
• Crystal Denese Neal, LCPC
• Philip Nebres
• Linda M Neff Fitzpatrick
• Laura Neilsen, PA-C
• Terri E Nelles
• Allison Jean Nelson, PA-C
• Ian Nelson

• Specialist in Aurora, IL
• Providers in Aurora, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.