Ganapathi Gottumukkala (NPI# 1780683953, PAC ID# 6709912538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780683953 |
| PAC ID by PECOS | 6709912538 |
| Professional Enrollment ID | I20100331000079 |
| Full Name | Ganapathi Gottumukkala |
| Organization Legal Name | ADVANCED HEART GROUP SC |
| Address |
6701 W 159th St Tinley Park IL 60477-1758 |
| Phone Number | 7083312200 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8022921816 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| 140062 | PALOS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6701 W 159th St, Tinley Park, IL 60477-1758 | 7083312200 | ADVANCED HEART GROUP SC |
| Organization Legal Name | ADVANCED HEART GROUP SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Romuald C Warakomski | Internal Medicine | Advanced Heart Group Sc | 71 W 156th St, Suite 305, Harvey, IL 60426-4264 |
| C Matthew Chelich | Family Medicine | Advanced Heart Group Sc | 71 W 156th St, Suite 305, Harvey, IL 60426-4264 |
| Street Address |
6701 W 159TH ST |
| City | TINLEY PARK |
| State | IL |
| Zip | 60477-1758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph C Beck | Psychiatry | 6701 W 159th St, Suite 2, Tinley Park, IL 60477-1758 | |
| Allen M Pielet | Ophthalmology | 6701 W 159th St, Suite C, Tinley Park, IL 60477-1758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sana Ali | Diagnostic Radiology | Progressive Radiology of Illinois LLC | 7711 W 159th St, Suite 100, Tinley Park, IL 60477-1336 |
| Jason A Kaapke | Chiropractic | 15930 75th Ct, Suite 200, Tinley Park, IL 60477-1340 | |
| Dana Berns | Podiatry | Advanced Orthopedic and Spine Care Sc | 16255 Harlem Ave, Tinley Park, IL 60477-1615 |
| Nicholas Angelopoulos | Anesthesiology | 6850 Centennial Dr, Tinley Park, IL 60477-1653 | |
| Daniel T Weber | Orthopedic Surgery | Daniel T Weber Md Sc | 6850 Centennial Dr, Tinley Park, IL 60477-1653 |
| Sheila D Crowe | Chiropractic | Body and Soul Health Care P C | 7060 Centennial Dr, Tinley Park, IL 60477-1699 |
| Maria S Viola | Optometry | Cmr LLC | 16630 Oak Park Ave, Tinley Park, IL 60477-1755 |
| Mindi J Kieffer | Optometry | Cmr LLC | 16630 Oak Park Ave, Tinley Park, IL 60477-1755 |
| Chirag H Rana | Optometry | Cmr LLC | 16630 Oak Park Ave, Tinley Park, IL 60477-1755 |
| Naila A Oconnell | Nurse Practitioner | Epmg of Illinois LLC | 6701 159th St, Tinley Park, IL 60477-1758 |
| Find all physicians in zip 60477 | |||
| City | TINLEY PARK |
| Zip Code | 60477 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TINLEY PARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ganapathi Gottumukkala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.