Latha Mariyappa, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

036108285 Issued in IL

Practice address

4646 N Marine Dr
Chicago, IL 60640-5759

Phone

(773) 564-5216

Fax

(773) 564-5215

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962413815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 S MONTEREY AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813434",
            "telephone_number": "847-902-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-5216",
            "fax_number": "773-564-5215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 S Monterey Ave",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "IL",
            "postal_code": "601813434",
            "country_code": "US",
            "telephone_number": "847-902-9125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIYAPPA",
        "first_name": "LATHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108285",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036108285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR (ILLINOIS STATE MEDICAL LICENSE)",
            "identifier": "036-108285",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Mariscal, MD
• Antoine Marison, CADC
• Maritza Lopez Campos PLLC
• Mariya Manova DMD, P.C.
• Mariya Manova DMD. P.C.
• Prabhavathi Mariyappa, M.D.
• Marjerie M Badilla M.D. S.C.
• Marjorie Mintz Rosenbaum MD LLC
• Mark a Szymanski, DCPC
• Mark Chien MD LLC

• Hospitalist Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Hospitalist Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.