Mukund Srinivas · Adult Reconstructive Orthopaedic Surgery Physician

9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006

Overview

Mukund Srinivas is a Adult Reconstructive Orthopaedic Surgery Physician practicing in Skokie, Illinois. The National Provider Identifier (NPI) is #1184253809, which was assigned on April 4, 2020, and the registration record was last updated on June 19, 2025. The practitioner's main practice location is at 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006; the contact telephone number is 8478667846, and the fax number is 2242512905. The primary taxonomy of Mukund Srinivas is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), with specialization in Adult Reconstructive Orthopaedic Surgery. Mukund Srinivas is licensed to practice in the state of Illinois (#036175206), Illinois (#036175206).

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Provider Information

NPI 1184253809
Entity Type Individual
Provider Name DR. MUKUND SRINIVAS
Gender Male
Credential MD
Practice Address 9650 Gross Point Rd Ste 2900
Skokie
IL 60076-5006
Practice Telephone 8478667846
Practice Fax Number 2242512905
Mailing Address 2650 Ridge Ave Ste 1223
Evanston
IL 60201-1700
Mailing Telephone 8475702040
Mailing Fax Number 8475705315
Certification Date 2025-06-19
Enumeration Date 2020-04-04
Last Update Date 2025-06-19
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2466876511
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name MUKUND SRINIVAS
Medical School WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Primary Specialty ORTHOPEDIC SURGERY
Address 2650 Ridge Ave
Suite 1223
Evanston
IL 60201-1797

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207X00000XOrthopaedic Surgery036175206IL
Y207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery036175206IL

Secondary Practice Locations

AddressTelephoneFax
3901 Rainbow Blvd, Kansas City, KS 6616085009135885000

Taxonomy Information

Primary Taxonomy

Code 207XS0114X
Taxonomy Adult Reconstructive Orthopaedic Surgery Physician
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Other Taxonomy

Code 207X00000X
Taxonomy Orthopaedic Surgery Physician
Classification Orthopaedic Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
David Novikov 6740 4th Ave Fl 4, Brooklyn, NY 11220-5350Adult Reconstructive Orthopaedic Surgery Physician2019-03-23
Bardia Barimani 400 Harborside Dr Ste 109, Galveston, TX 77555-5143Adult Reconstructive Orthopaedic Surgery Physician2023-09-07
Jacob Matthew Farrar 3737 Market St Fl 6, Philadelphia, PA 19104-5545Adult Reconstructive Orthopaedic Surgery Physician2020-06-05
Advanced Orthopedic and Sports Medicine Institute PC 9 Hospital Dr Ste 14, Toms River, NJ 08755-6425Adult Reconstructive Orthopaedic Surgery Physician2025-07-18
Jason Michael Pedowitz 2501 Parkers Ln Unit 200, Alexandria, VA 22306-3209Adult Reconstructive Orthopaedic Surgery Physician2020-03-31
Pierre Tamer 11550 Indian Hills Rd Ste 300&381, Mission Hills, CA 91345-1200Adult Reconstructive Orthopaedic Surgery Physician2019-04-12
Stephen Bowen 6847 N Chestnut St Ste 105, Ravenna, OH 44266-3929Adult Reconstructive Orthopaedic Surgery Physician2019-03-22
Cirujano De Huesos LLC 500 Ave Degetau Ste 302, Caguas, PR 00725-7303Adult Reconstructive Orthopaedic Surgery Physician2025-04-23
Adam Jude Santoro 4745 Ogletown Stanton Rd Ste 238, Newark, DE 19713-2074Adult Reconstructive Orthopaedic Surgery Physician2019-06-26
Istvan Gergely 1300 N Main St, Rushville, IN 46173-1116Adult Reconstructive Orthopaedic Surgery Physician2025-12-12
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Location Information

Street Address 9650 GROSS POINT RD STE 2900
City SKOKIE
State IL
Zip Code 60076-5006
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Julia Matera 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006Orthopaedic Surgery Physician2020-05-08
Natalie Isabelle Sipes 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006Occupational Therapist2024-05-06
Amanda Jill Holleb 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006Surgical Physician Assistant2022-09-12
Mitchell Christopher Weaver 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006Orthopaedic Surgery Physician2020-03-31
Michael Gene Blankespoor 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006Adult Reconstructive Orthopaedic Surgery Physician2020-05-22

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Andrew William Shelton Po Box 514, Skokie, IL 60076-0514Social Worker2018-01-16
Bianca Diaz 9700 Gross Point Rd, Skokie, IL 60076-1175Speech-Language Pathologist2025-06-02
Caroline N. Sadowicz 9600 Gross Point Rd Ste 1200, Skokie, IL 60076-1214Nurse Practitioner2025-06-10
Gold Star Dental LLC 4057 Old Orchard Rd # North, Skokie, IL 60076-1001Dental Clinic/Center2021-07-08
Shore Community Services Inc 4232 Dempster St, Skokie, IL 60076Developmentally Disabled Services Day Training Agency2007-02-15
Rise and Thrive Therapy, LLC 9722 Karlov Avenue, Apt #2, Skokie, IL 60076Mental Health Counselor2025-05-29
Jessica Covelli 9707 Kedvale Ave, Skokie, IL 60076-1121Clinical Social Worker2026-01-02
Rebekah Coughlin 9600 Gross Point Rd, Skokie, IL 60076-1214Physician Assistant2020-04-20
Dustin Heath Massel 9600 Gross Point Rd Ste 1200, Skokie, IL 60076-1214Orthopaedic Surgery of the Spine Physician2017-03-21
Vitae Health Medical Illinois, PLLC 3450 Oakton St, Skokie, IL 60076Clinical Social Worker2018-05-13
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Dhruti Mukund Patel 1 Barnes Jewish Hospital Plz, Div Surg Urology, Saint Louis, MO 63110-1003Urology Physician2010-04-10
Srinivas Rao Kavuri 8722 Glenwood Rd, Brooklyn, NY 11236-3412Pharmacist2008-08-21
Tanmayi Srinivas Pai 1365 Clifton Rd Ne, Atlanta, GA 30322-1865Hematology & Oncology Physician2019-03-22
Hiren Mukund Patel 100 Woods Rd, Acp 4th Floor, Valhalla, NY 10595-1530Orthopaedic Surgery of the Spine Physician2018-04-05
Srinivas Chivukula 300 Stein Plaza Suite 420, Los Angeles, CA 90095-1003Student in an Organized Health Care Education/Training Program2014-04-03
Tejas Mukund Doshi 710 Chesterfield Hwy, Cheraw, SC 29520-7001Family Medicine Physician2025-03-28
Srinivas Chiravuri 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364Anesthesiology Physician2006-07-15
Adi Xiyal Mukund 400 Parnassus Ave, San Francisco, CA 94143-2202Student in an Organized Health Care Education/Training Program2024-12-31
Srinivas Dutt 11373 Cortez Blvd Ste 301, Brooksville, FL 34613-5411Ophthalmology Physician2006-04-06
Srinivas P Rao 11221 Katy Fwy Ste 115, Houston, TX 77079-2105Phlebology Physician2005-11-07

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.