Individual provider Active NPI

Anuja Bedi, D.O, M.P.H

  • Family Medicine Physician
  • Urbana, IL
National Provider Identifier
1003362153
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036148912 Issued in IL
Practice address
611 W Park St
Urbana, IL 61801-2529
Phone
(217) 383-3311
NPI assigned
Aug 29, 2016
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036148912 IL Primary

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801-2529

Mailing address

Manor Rd
Austin, TX 78722-1750

Other practice location 1

2827 Manor Rd
Austin, TX 78722-1747
Phone (713) 501-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200413001276 TX Practitioner - Family Practice 6103182068 Reassigns benefits to 1 organization
I20241125002062 NY Practitioner - Family Practice 6103182068 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036148912ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fordham Medical of New York LLC CurrentSince Oct 21, 2024 Accepting new patients
Anuji Bedi NP & Company Family Medicine Current Accepting new patients
Bushwick Medical of New York LLC CurrentSince Oct 21, 2024 Accepting new patients
Foxhurst Medical of New York LLC CurrentSince Oct 21, 2024 Accepting new patients
Home Dialysis of Illinois LLC CurrentSince Dec 31, 2024 Accepting new patients
St. Nicholas Professional Medical Services of New York LLC PastSince Oct 21, 2024 Accepting new patients
Texas Professional Medical Services LLC Past Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

304 Wainwright Dr
Ste 120
Northbrook, IL 60062

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

16203 Jamaica Ave
Ste 200C
Jamaica, NY 11432

122 Fulton St
Ste C
New York, NY 10038
Phone (718) 732-1071

155 Dyckman St
Ste C
New York, NY 10040
Phone (646) 798-3978

1974 1st Ave
New York, NY 10029
Phone (212) 535-4500

262 W 145th St
Ste C
New York, NY 10039
Phone (718) 513-5880

314 W 23rd St
Ste C
New York, NY 10011
Phone (929) 249-5829

930 E Campbell Rd
Richardson, TX 75081
Phone (469) 498-9844

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEFAD/Endpoint/HDEFAD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1003362153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANOR RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2827 Manor Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787221747",
            "country_code": "US",
            "telephone_number": "713-501-0821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDI",
        "first_name": "ANUJA",
        "credential": "D.O, M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036148912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.