Active NPI
Mahesh Ramachandran, M.D.
- Physical Medicine & Rehabilitation Physician
- Downers Grove, IL
National Provider Identifier
1972653111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036096303
- Practice address
- 3450 Saratoga Avenue
Downers Grove, IL 60187 - Phone
- (630) 969-9360
- Fax
- (630) 969-9348
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036096303 | IL | Primary |
Addresses
Primary practice location
3450 Saratoga Avenue
Downers Grove, IL 60187
Mailing address
26W171 Roosevelt Road
Wheaton, IL 60187
Phone (630) 909-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036096303 | Medicaid | IL | |
| 02215324 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marianjoy Rehabilitation Hospital & Clinics Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Hospital
- Wheaton, IL
- NPI 1083660658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517788800000",
"number": "1972653111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26W171 ROOSEVELT ROAD",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-909-7000",
"fax_number": "630-909-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 SARATOGA AVENUE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-969-9360",
"fax_number": "630-969-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMACHANDRAN",
"first_name": "MAHESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2018-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036096303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036096303",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02215324",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.