NPIMap

Individual provider Active NPI

Gopal Lalmalani, MD

  • Cardiovascular Disease Physician
  • Lombard, IL
National Provider Identifier
1942221981
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036050305 Issued in IL
Practice address
2340 S Highland Ave
Lombard, IL 60148-5371
Phone
(630) 792-0900
Fax
(630) 792-0966
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036050305 IL Primary

Addresses

Primary practice location

2340 S Highland Ave
Lombard, IL 60148-5371

Mailing address

777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550

Other identifiers 6

IdentifierTypeStateIssuer
36365711702OtherILADVOCATE HLTH CENTERS ID
36365711726251OtherILADVOCATE HLTH PARTNERS ID
01618378OtherILBCBS PROVIDER ID
060009557OtherILRAILROAD MEDICARE
036050305MedicaidIL
060018893OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000964 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507768603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

2701 W 68TH St
Chicago, IL 60629-1813
Phone (312) 471-7427

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 521-1710

6441 S Pulaski Rd
Chicago, IL 60629-5148
Phone (773) 884-3300

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Services Illinois, LTD Current Accepting new patients
Saint Anthony Health Affiliates CurrentSince Aug 1, 2020 Accepting new patients
Loretto Hospital Current Accepting new patients
Vivek Gupta, M.D., S.C. Past Accepting new patients
Saint Anthony Health Affiliates Past Accepting new patients

Locations

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

Interoperability endpoints

  • Direct secure messaging: gopal.lalmalani@loretto.medalliesdirect.net

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1942221981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-792-0900",
            "fax_number": "630-792-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALMALANI",
        "first_name": "GOPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036050305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH CENTERS ID",
            "identifier": "36365711702",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH PARTNERS ID",
            "identifier": "36365711726251",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01618378",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060009557",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050305",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060018893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.