Individual provider Active NPI

Nila Vora, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Maywood, IL
National Provider Identifier
1952375073
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036.052046 Issued in IL
Practice address
2160 S 1St Ave
(7511 Lemont Rd, Darien, Il. 60561)
Maywood, IL 60153
Phone
(630) 985-4989
Fax
(630) 985-4540
NPI assigned
Feb 15, 2006
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 36052046 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036.052046 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
(7511 Lemont Rd, Darien, Il. 60561)
Maywood, IL 60153

Mailing address

2160 S 1St Ave
(7511 Lemont Rd, Darien, Il. 60561)
Maywood, IL 60153
Phone (630) 985-4989

Other identifiers 1

IdentifierTypeStateIssuer
36052046MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100116000091 IL Practitioner - Internal Medicine 8022150838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36052046ILMDInternal Medicine Physician
036.052046ILMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: nila.vora.1@19204.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1952375073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "(7511 LEMONT RD, DARIEN, IL. 60561)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "630-985-4989",
            "fax_number": "630-985-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "(7511 LEMONT RD, DARIEN, IL. 60561)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "630-985-4989",
            "fax_number": "630-985-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORA",
        "first_name": "NILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36052046",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036.052046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36052046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.