Individual provider Active NPI

Divyesh Bhatt, M.D.

  • Interventional Cardiology Physician
  • Joliet, IL
National Provider Identifier
1043244668
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
36-089281 Issued in IL
Practice address
330 Madison St Ste 103
Joliet, IL 60435-6572
Phone
(815) 514-2975
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 36-089281 IL Primary

Addresses

Primary practice location

330 Madison St Ste 103
Joliet, IL 60435-6572

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121 ext. 337

Other identifiers 1

IdentifierTypeStateIssuer
36089281MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbhatt50632@dulyhealthandcare.direct-ci.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000544 IL Practitioner - Cardiovascular Disease (Cardiology) 4486648433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

330 Madison St
Suite 103
Joliet, IL 60435-6572
Phone (815) 725-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36-089281ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Oct 1, 2015 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 1, 2015 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1100 31st St
Ste 300
Downers Grove, IL 60515

2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

301 Madison St
Ste 207
Joliet, IL 60435

330 Madison St
Joliet, IL 60435
Phone (815) 725-3440

330 Madison St
Ste 103
Joliet, IL 60435
Phone (815) 741-2900

Interoperability endpoints

  • Direct secure messaging: dbhatt50632@dulyhealthandcare.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1043244668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON ST STE 103",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356572",
            "telephone_number": "815-514-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604355487",
            "country_code": "US",
            "telephone_number": "815-725-2121 x337",
            "fax_number": "815-741-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATT",
        "first_name": "DIVYESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "36-089281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36089281",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbhatt50632@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "330 Madison St Ste 103",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604356572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.