Active NPI
Vijayalakshmi Thota, DO
- Internal Medicine Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036088719
- Practice address
- 15300 West Avenue, Suite 223
Orland Park, IL 60462 - Phone
- (708) 923-7874
- Fax
- (708) 923-7876
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036088719 | IL | Primary |
Addresses
Primary practice location
15300 West Avenue, Suite 223
Orland Park, IL 60462
Mailing address
12251 S. 80TH Avenue, Suite 1630
Palos Heights, IL 60463-1256
Phone (708) 923-7874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088719 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Chicago College of Osteopathy, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15300 W Ave BLDG a
Suite 100
Orland Park, IL 60462-4600
Phone (708) 226-2626
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
Hospital & facility affiliations
- Palos Community Hospital Home Health Care
- Palos Community Hospital Hospice
- Palos Community Hospital
- Northwestern Medicine Central Dupage Hospital
- Advocate Christ Hospital & Medical Center
- Silver Cross Hospital and Medical Centers
- Osf Little Company of Mary Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088719 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| Vijayalakshmi Thota DO | Internal Medicine | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
15300 West Ave
Ste 303
Orland Park, IL 60462
Phone (708) 349-6713
15300 West Ave
Ste 223
Orland Park, IL 60462
Phone (708) 923-7874
15300 West Ave
Ste 222
Orland Park, IL 60462
Phone (708) 364-1050
15300 West Ave
Orland Park, IL 60462
Phone (708) 226-2440
15300 West Ave
Ste 30
Orland Park, IL 60462
Phone (708) 349-6700
12251 S 80th Ave
Ste 1630
Palos Heights, IL 60463
Phone (708) 923-5173
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
- Internal Medicine Physician
- Orland Park, IL
- NPI 1063468510
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- Home Health Agency
- Lemont, IL
- NPI 1790750016
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- Community Based Hospice Care Agency
- Lemont, IL
- NPI 1962477919
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1972501039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S. 80TH AVENUE, SUITE 1630",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631256",
"telephone_number": "708-923-7874",
"fax_number": "708-923-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 WEST AVENUE, SUITE 223",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "60462",
"telephone_number": "708-923-7874",
"fax_number": "708-923-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOTA",
"first_name": "VIJAYALAKSHMI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036088719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088719",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.