SURESH C HATHIWALA (MD) – Nephrology Physician, NPI 1508863655

Nephrology Physician

SURESH C HATHIWALA (MD) is a healthcare provider. based in Oak park, Illinois. specializing in Nephrology Physician. They hold the professional credentials MD. The NPI Number for SURESH C HATHIWALA (MD) is 1508863655

Main info

Male

52 Years Of Experience

Accepts Medicare Assignment

Name

SURESH C HATHIWALA (MD)

NPI

1508863655

Phone

(708) 383-6996

Address

1214 N KENILWORTH AVE

Enumeration Date

5 July 2005

Last Update Date

6 September 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7732575300

Graduation Year

1974 (52 years ago)

PAC ID

7214832815

Group Practice PAC ID

5991600405

Professional Enrollment ID

I20031205000575

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience45

Completeness75

Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for SURESH C HATHIWALA (MD)

1214, North Kenilworth Avenue, Oak Park, Cook County, Illinois, 60302, United States
OAK PARK, IL 603021237
Phone: (708) 383-6996
Fax: (773) 257-6027
Type: Mailing
CALIFORNIA AVE 15TH STREET
DEPT OF MEDICINE
CHICAGO, IL 606081797
Phone: (773) 257-6552
Fax: (773) 257-6027
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5991600405View full group profile

Name	Specialty	State
IRINA KOSTOVA DIMITROVA (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	WA
DR. AMAR PRAVIN SHAH (MD)	Interventional Radiology, Diagnostic Radiology	IL
DR. NANCY A SIBIGTROTH (M.D.)	Radiation Oncology, Diagnostic Radiology	IL
DR. MOHAMMED AZHER KASSEM (M.D)	Hematology/Oncology, Internal Medicine	IL
MRS. UZMA NAEEM SYED (M.D)	Endocrinology, Internal Medicine	IL
DR. NAVEED K MALLICK (MD)	Internal Medicine, Sleep Medicine	IL
HARSHA CANAN GONDI (MD)	Internal Medicine	IL
YOLANDA SANKEY (FNP-BC)	-	IL
DR. SHAN-CHING YING (M.D.)	P A T H O L O G Y	IL
DR. THOMAS ROBERT DEKOJ (M.D.)	General Surgery, Colorectal Surgery (Proctology)	IL