Active NPI
Amit D Vyas MD SC
- Interventional Cardiology Physician
- Chicago, IL
National Provider Identifier
1952563512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036084893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amit D Vyas, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200493200A | Medicaid | IN | |
| 036084893 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Chicago, IL
- NPI 1861591356
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.