Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raghavendra Mirmira

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1417099771

Raghavendra Mirmira is an Endocrinology in Chicago, Illinois. Graduated from University of Chicago, Pritzker School of Medicine in 1993, 33 years ago. Practices with The University of Chicago Medical Center, a 909-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IL
In the registry since
2007
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 036150587 (IL)

Record details

NPI number1417099771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESOctober 24, 2022
Certification dateSeptember 4, 2020
Mailing address150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice The University Of Chicago Medical Center — 909 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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