PADMALATHA BERIKAI MD
NPI 1659306181
Internal Medicine - Endocrinology, Diabetes & Metabolism in Aurora, IL

Active since July 12, 2006PECOS Enrolled
2040 OGDEN AVE STE 401, AURORA, IL 60504(630) 978-4889(630) 978-4913 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, Apr 6, 2020, Jul 10, 2017 (3 updates tracked since 2017).

About Padmalatha Berikai Md NPPES

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

PADMALATHA BERIKAI MD (NPI 1659306181) is an individual endocrinology, diabetes & metabolism provider in Aurora, Illinois, licensed in Illinois (036103752) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1659306181
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePADMALATHA BERIKAICredential: MD
Location Address2040 OGDEN AVE STE 401Aurora, IL 60504-7208
Mailing Address2040 Ogden Ave Ste 401Aurora, IL 60504-7208 · (630) 978-4889 · Fax (630) 978-4913
Fax(630) 978-4913
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1659306181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in IL · 036103752
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2040 OGDEN AVE STE 401, Aurora, IL 60504

Accepted 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)

Padmalatha Berikai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113920018
PECOS Enrollment IDI20060815000176
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
246 services165 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
105 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
103 services70 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60504 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers26 claims324 services$17.98 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers26 claims855 services$2.29 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
38 suppliers162 claims699 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
19 suppliers62 claims124 services$1.10 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers18 claims1,220 services$7.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers324 claims324 services$186.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Gerontology)
2040 OGDEN AVE STE 401
AURORA, IL 60504
Internal Medicine (Critical Care Medicine)
2040 OGDEN AVE STE 401
AURORA, IL 60504
Internal Medicine (Gastroenterology)
2040 OGDEN AVE STE 401
AURORA, IL 60504
Audiologist
2040 OGDEN AVE STE 401
AURORA, IL 60504
Urology
2040 OGDEN AVE STE 401
AURORA, IL 60504
Internal Medicine (Pulmonary Disease)
2040 OGDEN AVE STE 401
AURORA, IL 60504
Audiologist
2040 OGDEN AVE STE 401
AURORA, IL 60504
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2040 OGDEN AVE STE 401
AURORA, IL 60504

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 Padmalatha Berikai's NPI number?

The NPI number for Padmalatha Berikai is 1659306181. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Padmalatha Berikai located?

Padmalatha Berikai practices at 2040 Ogden Ave Ste 401, Aurora, IL 60504. The listed phone number is (630) 978-4889.

What is Padmalatha Berikai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Padmalatha Berikai enrolled in Medicare?

Yes. Padmalatha Berikai is registered in the Medicare PECOS enrollment system.

What insurance does Padmalatha Berikai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Padmalatha Berikai 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.

Is Padmalatha Berikai affiliated with any hospitals?

According to CMS data, Padmalatha Berikai is affiliated with Copley Memorial Hospital, Osf Saint Elizabeth Mdl Ctr, Rush University Medical Center and Northwestern Medicine Delnor Community Hospital.

When was this NPI record last updated?

The NPPES record for Padmalatha Berikai was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.