Rodolfo J Mejicano, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036078539 Issued in IL

Practice address

9641 W 153Rd St
48
Orland Park, IL 60462-3775

Phone

(708) 403-0431

Fax

(708) 403-0699

NPI assigned

Jul 8, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1932107430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST",
            "address_2": "48",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623775",
            "telephone_number": "708-403-0431",
            "fax_number": "708-403-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJICANO",
        "first_name": "RODOLFO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078539",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansi Nikhil Mehta
• Yasmin Mehta, MS
• Mehul Vora
• Meijer Great Lakes Limited Partnership
• Maria Ann Meintanis, LCPC
• Pedrito Mejorada, PT
• Amy Elizabeth Melaniphy, MSOT, OTR/L
• Abigail Melendrez, SLP/CCC
• Jane Catherine Melinauskas, CCC-SLP/L
• Melissa Heinemann, PSYD, PLLC

• Internal Medicine Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.