Organization Active NPI

Palos Internists SC

Doing business as Dr. Satinder Dalawari

  • Internal Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1942423660
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALOS INTERNISTS SC
Doing business as
Dr. Satinder Dalawari
Practice address
4647 W 103Rd St
Suite 2L
Oak Lawn, IL 60453-4779
Phone
(708) 952-0200
Fax
(708) 952-0220
NPI assigned
Apr 11, 2007
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mrs. Pat Devries
Title
Billing Manager
Phone
(708) 460-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4647 W 103Rd St
Suite 2L
Oak Lawn, IL 60453-4779

Mailing address

4647 W 103Rd St
Suite 2L
Oak Lawn, IL 60453-4779
Phone (708) 952-0200

Other identifiers 3

IdentifierTypeStateIssuer
036088880MedicaidIL
1942423660OtherILBLUE CROSS
CK8079OtherILRAILROAD MEDICARE

Other names 1

  • Dr. Satinder Dalawari Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050906000733 IL Part B Supplier - Clinic/Group Practice 7214969708 Receives reassigned benefits from 6 practitioners
Practice locations: Oak Lawn, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2036643Palos Internists SC4647 W 103Rd St Ste 2L, Oak Lawn, IL 60453Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory

Locations

4647 W 103rd St
Ste 2L
Oak Lawn, IL 60453
Phone (708) 952-0200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCDBA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1942423660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "SUITE 2L",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "708-952-0200",
            "fax_number": "708-952-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "SUITE 2L",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "708-952-0200",
            "fax_number": "708-952-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS INTERNISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "708-460-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088880",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1942423660",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8079",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Satinder Dalawari",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.