Veena Nayak MD SC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036094023 Issued in IL

Legal business name

VEENA NAYAK MD SC

Doing business as

dba Southland Rheumatology Center, Ltd

Practice address

20060 Governors Dr Ste 300
Olympia Fields, IL 60461-1099

Phone

(708) 283-2600

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Wendi L Jeffers

Title

Office Manager

Phone

(708) 283-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba Southland Rheumatology Center, Ltd Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veena Nayak, M.D.

  • Rheumatology Physician
  • Olympia Fields, IL
  • NPI 1376539106
  Medicare reassignment NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1982793436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR STE 300",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611099",
            "telephone_number": "708-283-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR STE 300",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611099",
            "telephone_number": "708-283-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEENA NAYAK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-283-2600"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036094023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "001635621",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Southland Rheumatology Center, Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• V & M Transportation S LLC
• Valerie Aurel
• Smrithi Valsaraj
• Jonathan David Vander Molen
• Mark Atkinson Vangorder, MD
• Vein & Vascular Experts, PLLC
• Christopher Veltkamp, DO
• Zachary Andrew Ventress, DO
• Daniel E Vera, M.D.
• Kalen Jeremy Vespoli, M.D.

• Rheumatology Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.