BAPUSHETTY MADOORI MD SC
NPI 1508018326
Clinic/Center - Primary Care in Chicago, IL

Active since October 13, 2008
6905 S WENTWORTH AVE, CHICAGO, IL 60621(708) 590-9805 Get Directions Write a Review

NPPES record last updated: October 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bapushetty Madoori Md Sc NPPES

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

BAPUSHETTY MADOORI MD SC (NPI 1508018326) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since October 2008. The organization lists Bapushetty Madoori, President, as its authorized official.

NPPES Registry Identity

NPI1508018326
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBAPUSHETTY MADOORI MD SC
Location Address6905 S WENTWORTH AVEChicago, IL 60621-3734
Mailing Address15617 Sunset Ridge DrOrland Park, IL 60462-4925 · (708) 590-9805
Organization SubpartNo
Authorized OfficialBapushetty MadooriPresident · (708) 590-9805
Enumeration DateOctober 13, 2008
NPI 1508018326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036057250
6905 S WENTWORTH AVE, Chicago, IL 60621

Other Identifiers 3

Medicare PIN628410IL
Medicare UPIND14061
Medicare UPIND14061IL

Other Providers at the Same Location NPPES 4

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

Internal Medicine
6905 S WENTWORTH AVE
CHICAGO, IL 60621
Pharmacy Technician
6905 S WENTWORTH AVE
CHICAGO, IL 60621
Pharmacy Technician
6905 S WENTWORTH AVE
CHICAGO, IL 60621
Pharmacy
6905 S WENTWORTH AVE
CHICAGO, IL 60621

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 Bapushetty Madoori MD Sc's NPI number?

The NPI number for Bapushetty Madoori MD Sc is 1508018326. It was assigned to this organization in the NPPES registry on October 13, 2008.

Where is Bapushetty Madoori MD Sc located?

Bapushetty Madoori MD Sc is located at 6905 S Wentworth Ave, Chicago, IL 60621. The listed phone number is (708) 590-9805.

What is Bapushetty Madoori MD Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Bapushetty Madoori MD Sc was last updated on October 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.