Active NPI
Shyam Vadlapatla, M.D.,
- Internal Medicine Physician
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125060173
- 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
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 |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125060173 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millinocket Regional Hospital | Current | Accepting new patients | |
| Millinocket Regional Hospital | Current | Accepting new patients | |
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| East Post Road Medical Services PC | Current | Accepting new patients | |
| Hospital Medicine Services of Maine LLC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Maine Medical Services LLC | Internal Medicine | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | 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.
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
-
- Hospitalist Physician
- Ellsworth, ME
- NPI 1538638432
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- Critical Access Hospital
- Millinocket, ME
- NPI 1275646150
-
- Pediatrics Physician
- New Hyde Park, NY
- NPI 1578665048
Internal Medicine, NJ
-
- Medicare Defined Swing Bed Hospital Unit
- Millinocket, ME
- NPI 1578677456
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.