BHAGAVATULA RAMAKRISHNA (NPI# 1629063243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629063243 |
| Entity Type | Individual |
| Full Name | BHAGAVATULA RAMAKRISHNA |
| Credential | MD |
| Practice Address |
12251 S 80th Ave Suite 1630 Palos Heights IL 60463-1256 |
| Practice Telephone | 7089237874 |
| Practice Fax Number | 7089237873 |
| Mailing Telephone | 7089235173 |
| Mailing Fax Number | 7089235018 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036-050628 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F400293103 | 01 |
| IL | 036050628 | 05 | |
| IL | BCBS PROVIDER ID | 21622441 | 01 |
| Street Address |
12251 S 80TH AVE SUITE 1630 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359465 | Kurt J Wagner | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-13 |
| 1558972364 | Anu J Stephen | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-14 |
| 1730799651 | Ruby Noemi Meyer | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-05 |
| 1306489711 | Allison Marie Reid | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-10-18 |
| 1548829450 | Christina Gavoni | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-06-13 |
| 1033775945 | Valerie R Giannini | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-05-15 |
| 1073074894 | Jessica Marie Kubicki | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-03-26 |
| 1205393014 | Ruthie Celestine Gavin | Registered Nurse | 12251 S 80th Ave, Palos Heights, IL 60463 | 2019-02-28 |
| 1609332188 | Maria Veronica Tarala | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-02-20 |
| 1578029013 | Michelle Katherine Panek | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-0930 | 2019-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992213896 | Jennifer Marie Bassler | Internal Medicine | 7804 W College Dr Ste 1n, Palos Heights, IL 60463-1499 | 2018-01-14 |
| 1225327919 | Ankur B Dave | Internal Medicine | 7804 W College Dr Ste 1nw, Palos Heights, IL 60463-1025 | 2011-04-04 |
| 1346235934 | Godofredo C Carandang | Internal Medicine | 7804 W College Dr, Suite 1nw, Palos Heights, IL 60463-1025 | 2005-09-20 |
| 1235513201 | Magdalena Slomka | Internal Medicine | 7804 W College Dr, Ste 1nw, Palos Heights, IL 60463-1025 | 2015-07-19 |
| 1447337548 | Southwest Infectious Disease & Internal Medicine S C | Internal Medicine | 7804 W College Dr, Suite 1nw, Palos Heights, IL 60463-1025 | 2006-11-01 |
| 1174534564 | Muhammad Shamse Tabriz | Internal Medicine | 7804 W College Dr, Suite 1nw, Palos Heights, IL 60463-1025 | 2006-08-10 |
| 1225024508 | John M Andreoni | Internal Medicine | 7804 W College Dr, Suite 1nw, Palos Heights, IL 60463-1025 | 2005-09-22 |
| 1861487464 | Kathleen A Ruggero | Internal Medicine | 7804 W College Dr, Suite 1nw, Palos Heights, IL 60463-1025 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775038 | Aids Healthcare Foundation | Internal Medicine | 2600 S Michigan Ave # Ll-d, Chicago, IL 60616-2857 | 2020-06-19 |
| 1972152874 | Amanda M Zimmermann | Internal Medicine | 1870 W Winchester Rd Ste 247, Libertyville, IL 60048-5360 | 2019-09-04 |
| 1699201582 | Id Associates Limited | Internal Medicine | 5 Hunt Club Ln, Oak Brook, IL 60523-2328 | 2017-05-11 |
| 1053773044 | Seshank Arimilli | Internal Medicine | 2160 S 1st Ave Bldg 1027609, Maywood, IL 60153-3328 | 2016-03-28 |
| 1265859607 | Alessandra Anna Secco | Internal Medicine | 7900 N Milwaukee Ave Ste 231a, Niles, IL 60714-3247 | 2014-03-24 |
| 1275962672 | Saira Rashida Ajmal | Internal Medicine | 4440 W 95th St Ste 301, Oak Lawn, IL 60453 | 2013-11-06 |
| 1942542519 | Andrew Blatt Thompson | Internal Medicine | 901 Mcclintock Dr Ste 201, Burr Ridge, IL 60527 | 2013-03-21 |
| 1013259779 | Allan Joseph Weinstein | Internal Medicine | 65 E Goethe St, Chicago, IL 60610-2628 | 2013-03-20 |
| 1871832428 | Harvey Kantor | Internal Medicine | 313 Whitmore Ln, Lake Forest, IL 60045-4707 | 2013-02-01 |
| 1417295411 | Robert Arthur Chase | Internal Medicine | 27w213 Birch St, Winfield, IL 60190-1040 | 2013-01-25 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.