NPIMap

Individual provider Active NPI

Madhulika Saxena, M.D.

  • Internal Medicine Physician
  • Burbank, IL
National Provider Identifier
1972547990
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036098524 Issued in IL
Practice address
5331 W 79TH St
Burbank, IL 60459-3500
Phone
(708) 422-9577
Fax
(708) 422-8101
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036098524 IL Primary

Addresses

Primary practice location

5331 W 79TH St
Burbank, IL 60459-3500

Mailing address

PO Box 626
Oak Lawn, IL 60454-0626
Phone (708) 422-9577

Other identifiers 1

IdentifierTypeStateIssuer
036098524MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000808 IL Practitioner - Internal Medicine 7719934587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandeep Chandra MD SCGroup PAC ID 7719934611, 3 clinicians

Practice addresses (Care Compare)

5331 W 79TH St
Burbank, IL 60459-1403
Phone (704) 422-9577

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036098524ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Chandra MD SC Internal Medicine CurrentSince Aug 1, 1999 Accepting new patients

Locations

5331 W 79th St
Burbank, IL 60459
Phone (704) 422-9577

7903 Lockwood Ave
Burbank, IL 60459
Phone (708) 422-9577

Interoperability endpoints

  • Direct secure messaging: msaxena276190@direct.myadvocateaurora.org

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1972547990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604540626",
            "telephone_number": "708-422-9577",
            "fax_number": "708-422-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604593500",
            "telephone_number": "708-422-9577",
            "fax_number": "708-422-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "MADHULIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098524",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.