NAGENDRA POLAVARAPU M.D.
NPI 1881731255
Pediatrics in Oak Lawn, IL

Q: What is Nagendra Polavarapu's NPI number?

The NPI number for Nagendra Polavarapu is 1881731255. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Nagendra Polavarapu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 01, 2007PECOS Enrolled

4440 W 95TH ST STE 3192H, OAK LAWN, IL 60453(708) 684-5685(708) 684-4712 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nagendra Polavarapu M.d. NPPES

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

NAGENDRA POLAVARAPU M.D. (NPI 1881731255) is an individual pediatrics provider in Oak Lawn, Illinois, licensed in Illinois (036-119683) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881731255

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameNAGENDRA POLAVARAPUCredential: M.D.

Location Address4440 W 95TH ST STE 3192HOak Lawn, IL 60453-2600

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 684-5685

Fax(708) 684-4712

Sole ProprietorNo

Enumeration DateFebruary 1, 2007

Last NPPES UpdateFebruary 20, 2023

NPPES CertifiedFebruary 20, 2023

✔ NPI 1881731255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-119683

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 036119683 (IL), 38700 (KY)

4440 W 95TH ST STE 3192H, Oak Lawn, IL 60453

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Other Identifiers 1

Medicaid036119683IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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)

Nagendra Polavarapu 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 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 13

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

ERIN EILEEN GORDON DO

Pediatrics (Pediatric Critical Care Medicine)