NPIMap

Organization Active NPI

Prabhakar J. Parikh, M.D.P.C

  • Clinic/Center
  • Calumet City, IL
National Provider Identifier
1073780003
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036-094269 Issued in IL
Legal business name
PRABHAKAR J. PARIKH, M.D.P.C
Practice address
1851 Sibley Blvd
Calumet City, IL 60409-2252
Phone
(708) 868-2300
Fax
(708) 868-2304
NPI assigned
May 8, 2008
Last updated
May 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Prabhakar J Parikh, MDNPI 1417067778
Title
President
Phone
(219) 923-8432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036-094269 IL Primary

Addresses

Primary practice location

1851 Sibley Blvd
Calumet City, IL 60409-2252

Mailing address

1542 Melbrook Dr
Munster, IN 46321-3119
Phone (219) 923-8432

Other identifiers 1

IdentifierTypeStateIssuer
036094269MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1073780003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 MELBROOK DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213119",
            "telephone_number": "219-923-8432",
            "fax_number": "219-923-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092252",
            "telephone_number": "708-868-2300",
            "fax_number": "708-868-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHAKAR J. PARIKH, M.D.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "PRABHAKAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-923-8432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-094269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094269",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.