MINDCORE INTEGRATIVE HEALTH, LLC
NPI 1053112631
Hospitalist in Joliet, IL

Active since March 20, 2025
333 MADISON ST, JOLIET, IL 60435(815) 725-7133 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mindcore Integrative Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDCORE INTEGRATIVE HEALTH, LLC (NPI 1053112631) is a healthcare organization registered as a hospitalist in Joliet, Illinois and active in the NPI registry since March 2025. The organization lists Sameera Guttikonda, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053112631
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameMINDCORE INTEGRATIVE HEALTH, LLC
Location Address333 MADISON STJoliet, IL 60435-8200
Mailing Address903 S Bodin StHinsdale, IL 60521-4383
Organization SubpartNo
Authorized OfficialSameera GuttikondaAuthorized Official · (224) 542-0736
Enumeration DateMarch 20, 2025
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1053112631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
333 MADISON ST, Joliet, IL 60435

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindcore Integrative Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mindcore Integrative Health, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1386447829
333 MADISON ST
Joliet, IL 60435
(815) 725-7133
✔ PECOSSame address
Nurse Practitioner
NPI 1578299681
4300 WEAVER PKWY STE 100
Warrenville, IL 60555
(630) 416-8289
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1639859283
2159 W MADISON ST
Chicago, IL 60612
(630) 878-3005
✔ PECOS✔ Accepts Medicare34 mi
Psychiatry
NPI 1447591458
1653 W CONGRESS PKWY
Chicago, IL 60612
(312) 942-2729
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindcore Integrative Health, LLC's NPI number?

The NPI number for Mindcore Integrative Health, LLC is 1053112631. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Mindcore Integrative Health, LLC located?

Mindcore Integrative Health, LLC is located at 333 Madison St, Joliet, IL 60435. The listed phone number is (815) 725-7133.

What is Mindcore Integrative Health, LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mindcore Integrative Health, LLC enrolled in Medicare?

Yes. Mindcore Integrative Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindcore Integrative Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mindcore Integrative Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Psychiatry (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindcore Integrative Health, LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.