MR. ADITYA MAZMUDAR MD MBA NPI 1619341526

NPI Information

  • NPI: 1619341526
  • Provider Name: MR. ADITYA MAZMUDAR, MD, MBA
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1611 W HARRISON ST STE 400
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 432-2300

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NPI Details

MR. Aditya Mazmudar, MD, MBA is an orthopaedic surgery of the spine orthopaedic surgery in Chicago, IL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. MR. Aditya Mazmudar, MD, MBA NPI is 1619341526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1611 W HARRISON ST STE 400
CHICAGO, IL
ZIP 60612-861
Phone: (312) 432-2300

The NPI 1619341526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 4/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine036.173275ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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