Active NPI
Bhavik Khajuria
- Diagnostic Radiology Physician
- Evanston, IL
National Provider Identifier
1043665656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036118112
- Practice address
- 2650 Ridge Ave.
Dept. of Radiology
Evanston, IL 60201-1057 - Phone
- (847) 570-2477
- NPI assigned
- May 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-068976 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036118112 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave.
Dept. of Radiology
Evanston, IL 60201-1057
Mailing address
2650 Ridge Ave.
Dept. of Radiology
Evanston, IL 60201-1057
Phone (847) 570-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-068976 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1043665656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPT. OF RADIOLOGY",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011057",
"telephone_number": "847-570-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPT. OF RADIOLOGY",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011057",
"telephone_number": "847-570-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAJURIA",
"first_name": "BHAVIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-02",
"last_updated": "2022-03-18",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-068976",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036118112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.