{"npi":"1982847810","type":"NPI-1","status":"active","name":{"display":"Dr. Mydhili Nandanan Moorthie M.D., M.P.H.","other":[{"code":"5","type":"Also known as","value":"MOORTHIE, MYDHILI"}],"first":"MYDHILI","last":"NANDANAN MOORTHIE","credential":"M.D., M.P.H."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IL","license":"036129528"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"IN","license":"01092376A"}]},"addresses":[{"purpose":"LOCATION","street_1":"885 ROOSEVELT RD STE 100","city":"GLEN ELLYN","state":"IL","postal_code":"601376141","country_code":"US","phone":"6303846200","fax":"6303846229"},{"purpose":"MAILING","street_1":"4119 HONEY LOCUST DR","city":"NAPERVILLE","state":"IL","postal_code":"605641113","country_code":"US","phone":"3125937438"}],"license":{"state":"IL","number":"036129528"},"identifiers":[{"type_code":"01","label":"Other","value":"1102594807","state":"IN","issuer":"ANTHEM"},{"type_code":"05","label":"Medicaid","value":"300085119","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121119000151","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IL","pac_id":"7911158043"},{"enrlmt_id":"I20240119003414","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IN","pac_id":"7911158043"}]},"enumeration_date":"2009-04-08","last_updated":"2024-12-13","_meta":{"source":"NPPES","snapshot_date":"2024-12-13","doc_url":"https://findmynpi.com/api"}}