NPIMap

Individual provider Active NPI

Rakesh Chugh, M.D.

  • Internal Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1952455362
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036085688 Issued in IL
Practice address
17732 Oak Park Ave Ste E-F
Tinley Park, IL 60477-3934
Phone
(708) 404-2463
Fax
(708) 407-8255
NPI assigned
Jan 22, 2007
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 036085688 IL Primary

Addresses

Primary practice location

17732 Oak Park Ave Ste E-F
Tinley Park, IL 60477-3934

Mailing address

17732 Oak Park Ave Ste E-F
Tinley Park, IL 60477-3934
Phone (708) 404-2463

Other identifiers 2

IdentifierTypeStateIssuer
1625908OtherILBLUE CROSS PROV #
036085688MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628001024 IL Practitioner - HospitalistPractitioner - Internal Medicine 7315078755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17732 Oak Park Ave
Suite E F
Tinley Park, IL 60477-3934
Phone (708) 407-8114

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Hospice and Palliative Care, Inc. CurrentSince Jun 12, 2019 Accepting new patients

Locations

510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280

Interoperability endpoints

  • Direct secure messaging: rchugh137572@direct.franciscanalliance.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1952455362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE STE E-F",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-404-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE STE E-F",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-404-2463",
            "fax_number": "708-407-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUGH",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV #",
            "identifier": "1625908",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085688",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.