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GANAPATHI GOTTUMUKKALA
NPI 1962457614
Family Medicine in Tinley Park, IL

Active since May 23, 2006
6701 159TH ST, SUITE B, TINLEY PARK, IL 60477(708) 614-0893(708) 342-1481 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ganapathi Gottumukkala NPPES

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

GANAPATHI GOTTUMUKKALA (NPI 1962457614) is a healthcare organization registered as a family medicine in Tinley Park, Illinois and active in the NPI registry since May 2006. The organization lists Ganapathi Gottumukkala, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1962457614
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGANAPATHI GOTTUMUKKALA
Location Address6701 159TH ST, SUITE BTinley Park, IL 60477-1758
Mailing AddressPo Box 849Matteson, IL 60443-0849 · (708) 747-5850 · Fax (708) 747-9991
Phone(708) 614-0893
Fax(708) 342-1481
Organization SubpartNo
Authorized OfficialGanapathi GottumukkalaSole Proprietor · (708) 614-0893
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 25, 2009
✔ NPI 1962457614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-074987
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6701 159TH ST, Tinley Park, IL 60477
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Other Identifiers 3

Other01625532IL · Bcbsil Group #
Medicare PIN570900IL
Medicare PIN080052428IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. FRANK J. KNIFFEN M.D.
Anesthesiology
6701 159TH ST, INGALLS SAME DAY SURGERY
TINLEY PARK, IL 60477
Cook County (708) 429-0220
ANESTHESIA ASSOC OF NORTHEAST ILLINOIS
Anesthesiology
6701 159TH ST, INGALLS SAME DAY SURGERY
TINLEY PARK, IL 60477
Cook County (708) 915-7318
ALLEN M PIELET M.D.
Ophthalmology
6701 159TH ST, SUITE C
TINLEY PARK, IL 60477
Cook County (708) 342-6240
EYE ASSOCIATES P C
Ophthalmology
6701 159TH ST, SUITE C
TINLEY PARK, IL 60477
Cook County (708) 342-6240
MONROE MEDICAL ASSOCIATES, SC
Internal Medicine (Hematology & Oncology)
6701 159TH ST, SUITE 1
TINLEY PARK, IL 60477
Cook County (708) 444-2226
SULLIVAN URGENT AID CENTERS, LTD
Emergency Medicine
6701 159TH ST
TINLEY PARK, IL 60477
Cook County (708) 429-3300
MELISSA M NELSON DO
Emergency Medicine
6701 159TH ST
TINLEY PARK, IL 60477
Cook County (708) 429-3300
INTERMED ONCOLOGY ASSOCIATES
Specialist
6701 159TH ST, SUITE 2
TINLEY PARK, IL 60477
Cook County (708) 342-1900

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 Ganapathi Gottumukkala's NPI number?

The NPI number for Ganapathi Gottumukkala is 1962457614. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Ganapathi Gottumukkala located?

Ganapathi Gottumukkala is located at 6701 159th St Suite B, Tinley Park, IL 60477. The listed phone number is (708) 614-0893.

What is Ganapathi Gottumukkala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ganapathi Gottumukkala was last updated on November 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.