Individual provider Active NPI

Sumathi M Rangineni, MD

  • Internal Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1952300907
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-082859 Issued in IL
Practice address
18210 La Grange Rd
Ste 200
Tinley Park, IL 60477-7722
Phone
(708) 479-6636
Fax
(708) 479-9460
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-082859 IL Primary
Hospitalist Physician 208M00000X 036082859 IL

Addresses

Primary practice location

18210 La Grange Rd
Ste 200
Tinley Park, IL 60477-7722

Mailing address

18210 La Grange Rd
Ste 200
Tinley Park, IL 60477-7722
Phone (708) 479-6636

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-082859ILMDInternal Medicine Physician
036082859ILMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1952300907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604777722",
            "telephone_number": "708-479-6636",
            "fax_number": "708-479-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604777722",
            "telephone_number": "708-479-6636",
            "fax_number": "708-479-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGINENI",
        "first_name": "SUMATHI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-082859",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036082859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.