DR. JANARDHAN MYDAM M.D
NPI 1396024972
Hospitalist in Berwyn, IL

Q: What is Janardhan Mydam's NPI number?

The NPI number for Janardhan Mydam is 1396024972. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Q: What is Janardhan Mydam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Janardhan Mydam was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 12, 2011PECOS Enrolled

3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-2226 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Mar 24, 2021, Aug 18, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Janardhan Mydam M.d NPPES

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

DR. JANARDHAN MYDAM M.D (NPI 1396024972) is an individual hospitalist provider in Berwyn, Illinois, licensed in Illinois (03613072) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1396024972

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JANARDHAN MYDAMCredential: M.D

Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429

Mailing Address3901 Beaubien St, 3t72Detroit, MI 48201-2119 · (313) 745-5533

Phone(708) 783-2226

Sole ProprietorYes

Enumeration DateAugust 12, 2011

Last NPPES UpdateFebruary 28, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2024

✔ NPI 1396024972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 03613072

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 ListedPediatricsTaxonomy 208000000X · License 03613072 (IL), 036-133072 (IL), 4301095991 (MI)

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 036133072 (IL)

3249 OAK PARK AVE, Berwyn, IL 60402

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Secondary Practice Location 1

Location 13901 Beaubien St, 3T72Detroit, MI 48201-2119 · Phone (313) 745-5533

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Janardhan Mydam M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DANIELLE GENGO R.D.

Dietitian, Registered