Individual provider Active NPI

Uday K Paul, MD

  • Internal Medicine Physician
  • Zion, IL
National Provider Identifier
1982623575
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036107590 Issued in IL
Practice address
2723 Sheridan Rd Ste C
Zion, IL 60099-2616
Phone
(847) 360-4260
NPI assigned
Jul 18, 2006
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01068288A IN
Hospitalist Physician 208M00000X 01068288A IN
Hospitalist Physician 208M00000X 036107590 IL
Internal Medicine Physician 207R00000X 036107590 IL Primary

Addresses

Primary practice location

2723 Sheridan Rd Ste C
Zion, IL 60099-2616

Mailing address

2723 Sheridan Rd Ste C
Zion, IL 60099-2616
Phone (847) 360-4260

Other identifiers 1

IdentifierTypeStateIssuer
F400339458OtherILMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060830000293 IL Practitioner - Internal Medicine 9133123318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Human Services Family Health Center, Inc.Group PAC ID 4385637537, shared by 4 NPIs, 16 clinicians

Practice addresses (Care Compare)

6301 N Western Ave
Chicago, IL 60659-2009
Phone (773) 761-0300

8800 Lockwood Ave
Skokie, IL 60077-1500
Phone (773) 761-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107590ILMDInternal Medicine Physician
01068288AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Aug 1, 2017 Accepting new patients
Asian Human Services Family Health Center, Inc. Current Accepting new patients
Asian Human Services Family Health Center CurrentSince Jan 19, 2025 Accepting new patients
Waukegan Clinic Corp Internal Medicine Current Accepting new patients
Asian Human Services Family Health Center, Inc CurrentSince Jan 19, 2025 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Internal Medicine Past Accepting new patients
Asian Human Services Family Health Center, Inc Past Accepting new patients

Locations

6301 N Western Ave
Chicago, IL 60659
Phone (773) 761-0300

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

8800 Lockwood Ave
Skokie, IL 60077
Phone (773) 761-0300

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

2615 Washington St
Waukegan, IL 60085
Phone (847) 249-3900

2723 Sheridan Rd
Ste C
Zion, IL 60099
Phone (847) 360-4260

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: uday.paul.1@18313.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1982623575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 SHERIDAN RD STE C",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992616",
            "telephone_number": "847-360-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 SHERIDAN RD STE C",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992616",
            "telephone_number": "847-360-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "UDAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068288A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01068288A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036107590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IL",
            "identifier": "F400339458",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.