Koteswara Rao Batchu, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

036058751 Issued in IL

Practice address

3825 Highland Ave
Suite 4B
Downers Grove, IL 60515-1552

Phone

(630) 963-4990

Fax

(630) 963-4964

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033262696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 39TH ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151530",
            "telephone_number": "630-964-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 4B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-963-4990",
            "fax_number": "630-963-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHU",
        "first_name": "KOTESWARA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036058751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Basista, LCSW
• Emaad Basith, MD
• Bastian Voice Institute, LLC
• Robert W Bastian, MD
• Zachary John Bastian, M.D.
• Kimberly M Battle-Miller, M.D.
• Devaansh Bawa, DDS, MSD
• Be Fit Physical Therapy & Pilates, LTD
• Be Present Therapy and Wellness, PC
• Deborah Ruth Beatty, M.S., L.C.P.C.

• Legal Medicine in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.