Individual provider Active NPI

Veerasamy Kista,Govinda Pillay

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1992811715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
900 South Damen Ave
Jesse Brown Vamc
Chicago, IL 60612
Phone
(312) 569-8387
Fax
(312) 569-8040
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IN Primary

Addresses

Primary practice location

900 South Damen Ave
Jesse Brown Vamc
Chicago, IL 60612

Mailing address

107 Thatcher Ave
River Forest, IL 60305-2029
Phone (708) 771-6169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-044806INMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992811715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 THATCHER AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052029",
            "telephone_number": "708-771-6169",
            "fax_number": "312-569-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTH DAMEN AVE",
            "address_2": "JESSE BROWN VAMC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-569-8387",
            "fax_number": "312-569-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAY",
        "first_name": "VEERASAMY",
        "middle_name": "KISTA,GOVINDA",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.