NPIMap

Organization Active NPI

Rakesh Marwaha M.D. S.C.

Doing business as Naperville Internist

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1073695284
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAKESH MARWAHA M.D. S.C.
Doing business as
Naperville Internist
Practice address
1190 S Naper Blvd
Naperville, IL 60540-8331
Phone
(630) 527-6390
Fax
(630) 527-6392
NPI assigned
Oct 19, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sandra Lovitt
Title
Office Manager
Phone
(630) 527-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1190 S Naper Blvd
Naperville, IL 60540-8331

Mailing address

PO Box 6010
Woodridge, IL 60517-7010
Phone (630) 527-6390

Other names 1

  • NAPERVILLE INTERNIST Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL rmarwaha252346@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001182 IL Part B Supplier - Clinic/Group Practice 6608766027 Receives reassigned benefits from 7 practitioners
Practice locations: Downers Grove, IL; Naperville, IL

National Provider Directory

National Provider Directory

Locations

640 S Washington St
Ste 380
Naperville, IL 60540
Phone (630) 272-6441

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073695284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605177010",
            "telephone_number": "630-527-6390",
            "fax_number": "630-527-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S NAPER BLVD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408331",
            "telephone_number": "630-527-6390",
            "fax_number": "630-527-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESH MARWAHA M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "LOVITT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-527-6390"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "rmarwaha252346@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1190 S Naper Blvd",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605408331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NAPERVILLE INTERNIST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NAPERVILLE INTERNIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.