Sai Ram Nimmagadda, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

36082949 Issued in IL

Practice address

10733 W. 165TH St.
Orland Park, IL 60467-8713

Phone

(708) 957-7468

Fax

(708) 957-7471

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ear, Nose & Throat Specialists of Illinois LTD

  • Specialist
  • Park Ridge, IL
  • NPI 1750340949
  NPD
• Lurie Children'S Medical Group, LLC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1992758544
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1902889041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10733 W. 165TH ST.",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678713",
            "telephone_number": "708-957-7468",
            "fax_number": "708-957-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10733 W. 165TH ST.",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678713",
            "telephone_number": "708-957-7468",
            "fax_number": "708-957-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMAGADDA",
        "first_name": "SAI",
        "middle_name": "RAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "36082949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082949",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Nickless
• Tiffany Nickson, LPN
• Edward Niedbalec, RPH
• Magdalena Agata Niemiec, RD
• Dallal Nijem
• Noonan Chiropractic Inc
• James P Noonan
• Jennifer Noonan, APN
• Mary Elizabeth Noone, CFY-SLP
• Noor Psychology & Wellness, LLC

• Allergy Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Allergy Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.