Dr Janardhan Mydam, MD - Medicare Hospitalist in Berwyn, IL

Dr Janardhan Mydam, MD is a medicare enrolled "Hospitalist" physician in Berwyn, Illinois. His current practice location is 3249 Oak Park Ave, Berwyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 783-2226.

Dr Janardhan Mydam is licensed to practice in Illinois (license number 03613072) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396024972.

Contact Information

Dr Janardhan Mydam, MD
3249 Oak Park Ave,
Berwyn, IL 60402-3429
(708) 783-2226
Not Available



Physician's Profile

Full NameDr Janardhan Mydam
GenderMale
SpecialityHospitalist
Location3249 Oak Park Ave, Berwyn, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396024972
  • Provider Enumeration Date: 08/12/2011
  • Last Update Date: 02/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143502484
  • Enrollment ID: I20170123001391

Medical Identifiers

Medical identifiers for Dr Janardhan Mydam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396024972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 03613072 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 036133072 (Illinois)Secondary
208M00000XHospitalist 03613072 (Illinois)Primary
208000000XPediatrics 036-133072 (Illinois)Secondary
208000000XPediatrics 4301095991 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Janardhan Mydam allows following entities to bill medicare on his behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158

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Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747

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Entity NameGottlieb Community Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013415603
PECOS PAC ID: 3375442999
Enrollment ID: O20180420000980

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Janardhan Mydam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Janardhan Mydam, MD
3901 Beaubien St, 3t72,
Detroit, MI 48201-2119

Ph: (313) 745-5533
Dr Janardhan Mydam, MD
3249 Oak Park Ave,
Berwyn, IL 60402-3429

Ph: (708) 783-2226

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› Verified 2 days ago


Hospitalist Doctors in Berwyn, IL

Haris Aleem, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-9100    
Udochukwu O Asonye, M.D.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-2226    
Aijaz Walji, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-2226    
Tonia Ann Gooden, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 3231 Euclid Ave, Berwyn, IL 60402
Phone: 708-783-3400    

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