Individual provider Active NPI

Shyam Vadlapatla, M.D.,

  • Internal Medicine Physician
  • Melrose Park, IL
National Provider Identifier
1942578158
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125060173 Issued in IL
Practice address
1111 Superior St
Ste 101
Melrose Park, IL 60160-4138
Phone
(708) 344-2161
NPI assigned
Dec 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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 125060173 IL Primary

Addresses

Primary practice location

1111 Superior St
Ste 101
Melrose Park, IL 60160-4138

Mailing address

260 E Butterfield Rd
Apt # 406
Elmhurst, IL 60126-4581
Phone (201) 388-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140918002375 ME Practitioner - Internal Medicine 1052530367 Reassigns benefits to 4 organizations
I20161018000770 NY Practitioner - Internal Medicine 1052530367 Reassigns benefits to 3 organizations
I20181029000129 NJ Practitioner - Internal Medicine 1052530367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Hospital Medicine Services of Maine LLCGroup PAC ID 1759621469, 34 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125060173ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millinocket Regional Hospital CurrentSince Aug 16, 2014 Accepting new patients
Millinocket Regional Hospital CurrentSince Aug 16, 2014 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Mar 10, 2018 Accepting new patients
East Post Road Medical Services PC CurrentSince Jan 1, 2021 Accepting new patients
Hospital Medicine Services of Maine LLC CurrentSince Mar 1, 2019 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Aug 17, 2016 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 8, 2018 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Sep 8, 2018 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients

Locations

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

200 Somerset St
Millinocket, ME 04462
Phone (207) 723-3003

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

27005 76th Ave
#222
New Hyde Park, NY 11040
Phone (718) 470-7260

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 12

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1942578158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E BUTTERFIELD RD",
            "address_2": "APT # 406",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264581",
            "telephone_number": "201-388-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "STE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-344-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADLAPATLA",
        "first_name": "SHYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125060173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.