MEGHA ADUSUMALLI (NPI# 1164915575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164915575 |
| Entity Type | Individual |
| Full Name | MEGHA ADUSUMALLI |
| Credential | MD |
| Practice Address |
1221 E State St Rockford IL 61104-2231 |
| Practice Telephone | 8159721000 |
| Practice Fax Number | 8159721093 |
| Mailing Telephone | 8159721000 |
| Mailing Fax Number | 8159721093 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 125-072939 | IL | Student, Health Care |
| Street Address |
1221 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038276 | Mitchell S King | Family Medicine | 1221 E State St, Rockford, IL 61104-2231 | 2005-07-29 |
| 1437767274 | Ashton Hurley | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2020-07-17 |
| 1487262218 | Farah Auckbarallee | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2020-07-17 |
| 1538786157 | Sadaf Younis | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2020-06-30 |
| 1255958914 | William Weede | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2020-06-29 |
| 1366069023 | Mischelle Nelson | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2020-06-29 |
| 1750905238 | Jaibir Bhullar | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2020-06-01 |
| 1306486022 | The Board of Trustees of The University of Illinois | Clinic/Center | 1221 E State St, Rockford, IL 61104-2231 | 2020-01-10 |
| 1063065225 | Matteo Perrone | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2019-07-17 |
| 1912550237 | Shaghayegh Esfandnia | Student in an Organized Health Care Education/Training Program | 1221 E State St, Rockford, IL 61104-2231 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118174 | Dalton Menke | Student in an Organized Health Care Education/Training Program | 707 Woodsong Ct, Rockford, IL 61102-5625 | 2020-06-11 |
| 1881216729 | Dylan Jackson Dick | Student in an Organized Health Care Education/Training Program | 226 Glenview Ct Ne, Rockford, MI 49341-1198 | 2020-05-14 |
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1457980138 | Alexandria Conner | Student in an Organized Health Care Education/Training Program | 9501 Sunset Ridge Dr Ne, Rockford, MI 49341-7116 | 2020-04-05 |
| 1679109789 | Alyssa Tunison | Student in an Organized Health Care Education/Training Program | 1722 Huffman Blvd, Rockford, IL 61103-4531 | 2020-03-20 |
| 1497380224 | Michael Magnuson | Student in an Organized Health Care Education/Training Program | 5268 Deer Pointe, Rockford, IL 61114-7068 | 2020-03-12 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1578127007 | Jose Luis Gallardo | Student in an Organized Health Care Education/Training Program | 2133 Oxford St, Rockford, IL 61103-4160 | 2019-04-30 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.