Ajay a Madhani MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042 007596 Issued in IL

Legal business name

AJAY A MADHANI MD SC

Practice address

755 S Milwaukee Ave
Suite 263
Libertyville, IL 60048-3253

Phone

(847) 367-0787

NPI assigned

Dec 25, 2006

Last updated

Dec 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ajay A Madhani, MDNPI 1841271947

Title

President

Phone

(847) 642-3781

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: amadhani237794@direct.myadvocateaurora.org

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajay A Madhani, MD

  • Hospitalist Physician
  • Buffalo Grove, IL
  • NPI 1841271947

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Arvind J Madhani, MD

  • Surgery Physician
  • Vernon Hills, IL
  • NPI 1225054372
  NPD (past)

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1962567651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTHFIELD DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613209",
            "telephone_number": "847-642-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE",
            "address_2": "SUITE 263",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483253",
            "telephone_number": "847-367-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJAY A MADHANI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "MADHANI",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-642-3781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042 007596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087144",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amadhani237794@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "755 S Milwaukee Ave",
            "address_2": "SUITE 263",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arellys Aguinaga
• Sarwat Ahmad, NP
• Ahmed & Patel, PLLC (Joint and Vascular Institute)
• Nasreen Fatima Ahmed, M.D.
• Osmanuddin Syed Ahmed, MD
• Nimat Akorede
• Akua Oforiwaa Akuffo, DNP-FNP-C
• Ala Dean Attar DMD PC
• Ala Dean Attar DMD PC
• Madelyn Grace Albers

• Internal Medicine Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.