DR. JANARDHAN MYDAM M.D
NPI 1396024972
Hospitalist in Berwyn, IL
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Janardhan Mydam M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Janardhan Mydam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berwyn, IL 60402
- Reassigned Medicare billing, Illinois enrollment
- 86 clinicians in this Medicare group
Cicero, IL 60804
- Reassigned Medicare billing, Illinois enrollment
- 1,047 clinicians in this Medicare group
Chicago, IL 60623
- Reassigned Medicare billing, Illinois enrollment
- 210 clinicians in this Medicare group
Chicago, IL 60632
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BERWYN, IL 60402
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 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.
Where is Janardhan Mydam located?
Janardhan Mydam practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-2226.
What is Janardhan Mydam's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Janardhan Mydam enrolled in Medicare?
Yes. Janardhan Mydam is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Janardhan Mydam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Janardhan Mydam reassigns Medicare benefits to 4 organizations: Gottlieb Community Health Services Corporation (Berwyn, IL), Cook County (Cicero, IL), Saint Anthony Health Affiliates (Chicago, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). Each 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 Janardhan Mydam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Janardhan Mydam accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, CareSource and Oscar Health list Janardhan Mydam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Dr. Janardhan Mydam, M.D · NPI 1396024972
Hospitalist physician in Berwyn, Illinois. Individual provider, active in the CMS NPPES registry since August 12, 2011.
## Identity
- **NPI:** 1396024972 (Entity type: Individual)
- **Enumerated:** August 12, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 03613072 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3249 OAK PARK AVE, Berwyn, IL 60402-3429
- **Phone:** (708) 783-2226
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Gottlieb Community Health Services Corporation (NPI 1013415603, Berwyn, IL); Cook County (NPI 1104946904, Cicero, IL); Saint Anthony Health Affiliates (NPI 1154713980, Chicago, IL); The Board Of Trustees Of The University Of Illinois (NPI 1932450160, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396024972) · Data from the CMS NPPES public registry.