Individual provider Active NPI

Bindu Titus

  • Family Nurse Practitioner
  • Mount Prospect, IL
National Provider Identifier
1033653340
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015140 Issued in IL
Practice address
350 W Kensington Rd
Ste 120
Mount Prospect, IL 60056-1141
Phone
(847) 222-9595
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015140 IL Primary

Addresses

Primary practice location

350 W Kensington Rd
Ste 120
Mount Prospect, IL 60056-1141

Mailing address

9581 Dee Rd Apt 1J
Des Plaines, IL 60016-3861
Phone (773) 574-5529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025003429 IL Practitioner - Nurse Practitioner 8022394204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Medical Associates LLC CurrentSince Aug 22, 2017 Accepting new patients
House Call MD LLC PastSince Jun 16, 2013 Accepting new patients

Locations

724 E Kensington Rd
Arlington Hts, IL 60004
Phone (847) 222-9595

350 W Kensington Rd
Ste 120
Mt Prospect, IL 60056
Phone (847) 222-9595

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1033653340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9581 DEE RD APT 1J",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163861",
            "telephone_number": "773-574-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD",
            "address_2": "STE 120",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "847-222-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "BINDU",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.