DR. MAMATA RAVIPATI (NPI# 1962490169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962490169 |
| Entity Type | Individual |
| Full Name | DR. MAMATA RAVIPATI |
| Credential | M.D. |
| Practice Address |
3471 Green Bay Rd North Chicago IL 60064-3090 |
| Mailing Address |
3537 Paysphere Cir Chicago IL 60674-0035 |
| Practice Telephone | 8474734357 |
| Mailing Telephone | 7087862900 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-104010 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-104010-2 | 05 |
| Street Address |
3471 GREEN BAY RD |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147164 | Karona Monica Mason | Podiatrist | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2005-07-14 |
| 1639629306 | Kristin Schneider | Psychologist | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2016-10-06 |
| 1205386174 | Steffanie E Meeks | Nurse Practitioner | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2016-10-04 |
| 1659821544 | Rosalind Franklin University of Medicine & Science | Psychologist | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2016-10-04 |
| 1750641692 | Ashka Trivedi | Podiatrist | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2012-05-25 |
| 1568761591 | Annette Facinelli Boban | Physician Assistant | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2011-03-16 |
| 1376874651 | Julie Atkins Waites | Psychologist | 3471 Green Bay Rd, Student Counseling Service, North Chicago, IL 60064-3090 | 2010-01-26 |
| 1467614834 | Nancy L Parsley | Podiatrist | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2008-06-27 |
| 1982894911 | Rosalind Franklin University Health | Internal Medicine | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2007-07-26 |
| 1871623157 | Isamali Carani | Dietitian, Registered | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1881210664 | Jonathan George Bell | Internal Medicine | 2450 Buckley Rd, North Chicago, IL 60064-3092 | 2020-06-17 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1700238813 | Sajid Mahmood | Internal Medicine | 3505 Green Bay Rd, 304a, North Chicago, IL 60064-3607 | 2016-07-13 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| 1417291097 | Tracey Heimberger | Internal Medicine | 1 North Waukegan Rd, Abbvie Inc, North Chicago, IL 60064 | 2012-11-20 |
| 1033735022 | Piotr Pawel Krolikowski | Internal Medicine | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
| 1376165977 | Seth Alexander Kirsch Heithaus | Internal Medicine | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2020-05-18 |
| 1821619388 | Ammar Asif Ahmed | Internal Medicine | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-05-06 |
| Find all providers in NORTH CHICAGO | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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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.