Raj Mahtani

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041.333893 Issued in IL

Practice address

1020 W Golf Rd
Hoffman Estates, IL 60169-1340

Phone

(847) 413-1611

NPI assigned

Jun 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Abita Healthcare Inc.

  • Home Health Agency
  • Hoffman Estates, IL
  • NPI 1568299774
  NPD Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1013366293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 ROSEHALL LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601238932",
            "telephone_number": "773-663-1602",
            "fax_number": "847-483-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W GOLF RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691340",
            "telephone_number": "847-413-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHTANI",
        "first_name": "RAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041.333893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "261474424",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmahtani@lifeplusbridge.com",
            "affiliation": "N",
            "endpointDescription": "Life Bridge",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1020 W Golf Rd",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601691340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Macy-Robertson, CCC-SLP
• Alka Madan, M.D.
• Frank C Madda, MD
• Alyssa Lynn Madsen, CCC-SLP/L
• Joanne Magoc, LCSW
• Malgorzata Maj, DT
• Sonali P Majmudar, MD
• Geena James Makil, PA
• Sumra Malik
• Katherine Manders

• Home Health Registered Nurse in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.