Individual provider Active NPI

Sumitha Mahkri

  • Internal Medicine Physician
  • Glendale Heights, IL
National Provider Identifier
1942567797
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.096920 Issued in IL
Practice address
207 E Wrightwood Ave
Glendale Heights, IL 60139-2626
Phone
(630) 588-9784
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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 036.096920 IL Primary

Addresses

Primary practice location

207 E Wrightwood Ave
Glendale Heights, IL 60139-2626

Mailing address

207 E Wrightwood Ave
Glendale Heights, IL 60139-2626
Phone (630) 588-9784

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

LicenseStateTypeSpecialty
036.096920ILMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1942567797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E WRIGHTWOOD AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392626",
            "telephone_number": "630-588-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E WRIGHTWOOD AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392626",
            "telephone_number": "630-588-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHKRI",
        "first_name": "SUMITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.096920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.