Active NPI
Ritika Marisse Coelho, MBBS
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1942438635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 125055859
- Practice address
- 840 S Wood St
University of Illinois, Dept of Pediatrics MC 856
Chicago, IL 60612-4325 - Phone
- (312) 996-6043
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125055859 | IL | Primary |
Addresses
Primary practice location
840 S Wood St
University of Illinois, Dept of Pediatrics MC 856
Chicago, IL 60612-4325
Mailing address
901 S Ashland Ave
Apt 502a
Chicago, IL 60607-4001
Phone (773) 715-0428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125055859 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1942438635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S ASHLAND AVE",
"address_2": "APT 502A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074001",
"telephone_number": "773-715-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S WOOD ST",
"address_2": "UNIVERSITY OF ILLINOIS, DEPT OF PEDIATRICS MC 856",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325",
"telephone_number": "312-996-6043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COELHO",
"first_name": "RITIKA",
"middle_name": "MARISSE",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125055859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.