Active NPI
Thenmathi Sivarajan, MD
- Pediatrics Physician
- Midlothian, IL
National Provider Identifier
1962457564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036063023
- Practice address
- 14735 S Pulaski
Midlothian, IL 60445 - Phone
- (708) 371-0077
- Fax
- (708) 597-7714
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036063023 | IL | Primary |
Addresses
Primary practice location
14735 S Pulaski
Midlothian, IL 60445
Mailing address
14735 S Pulaski
Midlothian, IL 60445
Phone (708) 371-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036063023 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1962457564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14735 S PULASKI",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "60445",
"telephone_number": "708-371-0077",
"fax_number": "708-597-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14735 S PULASKI",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "60445",
"telephone_number": "708-371-0077",
"fax_number": "708-597-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVARAJAN",
"first_name": "THENMATHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036063023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036063023",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.