Bhanu L Patel M D LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036090924 Issued in IL

Legal business name

BHANU L PATEL M D LTD

Practice address

3414 W Peterson Ave
Suite a
Chicago, IL 60659-3452

Phone

(773) 478-1777

Fax

(877) 224-8698

NPI assigned

Feb 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bhanu Patel, MD

Title

President

Phone

(773) 478-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhanuprasad Lakhabhai Patel

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1134153828
  Medicare reassignment
• Bharat K Shah, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316971005
  NPD
• Jong Lak Jin, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1225062912
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1003156373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W PETERSON AVE",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593452",
            "telephone_number": "773-478-1777",
            "fax_number": "877-224-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W PETERSON AVE",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593452",
            "telephone_number": "773-478-1777",
            "fax_number": "877-224-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHANU L PATEL M D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-478-1777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036090924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090924",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Bhandari, LCSW
• Niyati P Bhandari, M.D.
• Priyadarshini Bhandarkar
• Shelly Bhanot, MD
• Paige Vonachen Bhansali, MD
• Gautam K Bhanushali, MD
• Raj Ramnik Bhanvadia, MD
• Sonya Bharadwa, MD
• Dipali Bharadwaj, LCP
• Maheetha Bharadwaj

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.