Individual provider Active NPI

Vidya S Mandiyan, MD

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1922324383
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-133805 Issued in IL
Practice address
2000 Ogden Ave
Aurora, IL 60504-7222
Phone
(866) 565-8607
Fax
(312) 563-8661
NPI assigned
Apr 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-133805 IL Primary

Addresses

Primary practice location

2000 Ogden Ave
Aurora, IL 60504-7222

Mailing address

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (866) 565-8607

Other names 1

  • Vidya Sreekala Mandiyan Former name

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
I20140102000503 IL Practitioner - Internal Medicine 3476781113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-5893

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800

2040 Ogden Ave
Aurora, IL 60504-7205

472 N Sugar Grove Pkwy
Rush Copley Medical Group
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush-Copley Medical Group, NFP Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Rush-Copley Medical Group CurrentSince Sep 1, 2020 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Copley Memorial Hospital Inc. Past Accepting new patients

Locations

2040 Ogden Ave
Ste 313
Aurora, IL 60504
Phone (630) 499-2404

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

2020 Ogden Ave
Ste 325
Aurora, IL 60504
Phone (630) 978-4850

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: vsabharwal122967@direct.rush.rush-health.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1270857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1922324383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "866-565-8607",
            "fax_number": "312-563-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "866-565-8607",
            "fax_number": "312-563-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDIYAN",
        "first_name": "VIDYA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-10",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-133805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIDYA",
            "last_name": "MANDIYAN",
            "middle_name": "SREEKALA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.