Individual provider Active NPI

Chowdary Adusumilli, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1922030147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036052661 Issued in IL
Practice address
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone
(773) 292-8200
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036052661 IL Primary

Addresses

Primary practice location

1044 N Francisco Ave
Chicago, IL 60622-2743

Mailing address

2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone (630) 472-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000102 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 0345135612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Emergency Physicians PLLCGroup PAC ID 5698278836, 10 clinicians

Practice addresses (Care Compare)

8012 S Crandon Ave
Chicago, IL 60617-1124
Phone (773) 356-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Oct 3, 2016 Accepting new patients
Heartland Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Foundation for Emergency Services Emergency Medicine Current Accepting new patients
Foundation for Emergency Services CurrentSince Jul 1, 2018 Accepting new patients
Emergency Care Physician Services HP, LTD. Emergency Medicine Past Accepting new patients
Unimed, LTD Past Accepting new patients
Midwest Emergency Northern Illinois Inc Emergency Medicine Past Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
Emergency Department Associates, P.C. Emergency Medicine Past Accepting new patients
Cottage Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Webster Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

8012 S Crandon Ave
Chicago, IL 60617
Phone (773) 356-5000

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

328 Heymann Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 581-6920

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922030147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPRING RD",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231804",
            "telephone_number": "630-472-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSUMILLI",
        "first_name": "CHOWDARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036052661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.