Organization Active NPI

Amit D Vyas MD SC

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1952563512
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036084893 Issued in IL
Legal business name
AMIT D VYAS MD SC
Practice address
2315 E 93Rd St Ste 237
Chicago, IL 60617-3919
Phone
(773) 221-2700
Fax
(773) 221-5701
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Dr. Amit D Vyas, MDNPI 1861591356
Title
Manager/Doctor
Phone
(630) 747-9190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 036084893 IL Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 237
Chicago, IL 60617-3919

Mailing address

1917 Midwest Club Pkwy
Oak Brook, IL 60523-2525
Phone (219) 992-9737

Other identifiers 2

IdentifierTypeStateIssuer
200493200AMedicaidIN
036084893MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address AMITVYASDR@direct.practicefusion.com Direct
Direct Messaging Address AMITVYASDR@direct.practicefusion.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080821000651 IL Part B Supplier - Clinic/Group Practice 2466527601 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1952563512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232525",
            "telephone_number": "219-992-9737",
            "fax_number": "219-992-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 237",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173919",
            "telephone_number": "773-221-2700",
            "fax_number": "773-221-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT D VYAS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/DOCTOR",
        "authorized_official_telephone_number": "630-747-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036084893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200493200A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084893",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMITVYASDR@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2315 E 93rd St Ste 236",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMITVYASDR@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2315 E 93rd St Ste 236",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.