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KESHAVA MEDICAL CENTER LTD
NPI 1124228424
Internal Medicine in Chicago, IL

Active since July 24, 2007CLIA 14D1072147 · Waiver
7845 S COTTAGE GROVE AVE, SUITE # 109, CHICAGO, IL 60619(773) 783-8793(773) 783-8794 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keshava Medical Center Ltd NPPES

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

KESHAVA MEDICAL CENTER LTD (NPI 1124228424) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Pramode K Keshava, Director, as its authorized official.

NPPES Registry Identity

NPI1124228424
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKESHAVA MEDICAL CENTER LTD
Location Address7845 S COTTAGE GROVE AVE, SUITE # 109Chicago, IL 60619-3100
Mailing Address9000 Kilkenny DrDarien, IL 60561-8451 · (630) 910-8157
Phone(773) 783-8793
Fax(773) 783-8794
Organization SubpartNo
Authorized OfficialPramode K KeshavaDirector · (773) 783-8793
Enumeration DateJuly 24, 2007
Last NPPES UpdateJune 29, 2010
✔ NPI 1124228424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036094000
Definition
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.
7845 S COTTAGE GROVE AVE, Chicago, IL 60619
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN256190IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Keshava Medical Center Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keshava Medical Center Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pramode Keshava, M.D.
Internal Medicine
NPI 1285670232
9119 S EXCHANGE AVE
Chicago, IL 60617
(773) 785-6800
✔ PECOS✔ Accepts Medicare3.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1072147

Keshava Medical Center · Chicago, IL
Active · expires Aug 8, 2027
CLIA Number14D1072147
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorPramode K. Keshave
Laboratory Phone(773) 783-8793
Laboratory LocationKeshava Medical Center1747 E 87th Street, Chicago, IL 60617
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Keshava Medical Center Ltd's NPI number?

The NPI number for Keshava Medical Center Ltd is 1124228424. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Keshava Medical Center Ltd located?

Keshava Medical Center Ltd is located at 7845 S Cottage Grove Ave Suite # 109, Chicago, IL 60619. The listed phone number is (773) 783-8793.

What is Keshava Medical Center Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keshava Medical Center Ltd enrolled in Medicare?

Yes. Keshava Medical Center Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keshava Medical Center Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Keshava Medical Center Ltd. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Keshava Medical Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1072147) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keshava Medical Center Ltd was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.