Bipinchandra N Bhayani, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036044204 Issued in IL

Practice address

455 W Court St
Suite #403
Kankakee, IL 60901-3679

Phone

(815) 939-3190

Fax

(815) 935-5101

NPI assigned

Jul 20, 2006

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bipin Bhayani Other name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bipin N. Bhayani M.D.,S.C.

  • Clinical Medical Laboratory
  • Kankakee, IL
  • NPI 1285768531
  NPD
• United Shockwave Services, LTD.

  • Ambulatory Surgical Clinic/Center
  • La Grange, IL
  • NPI 1336526219
  NPD
• United Shockwave Services, LTD.

  • Urology Physician
  • Park Ridge, IL
  • NPI 1497132377
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1083634570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W COURT ST",
            "address_2": "SUITE #403",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013679",
            "telephone_number": "815-939-3190",
            "fax_number": "815-935-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W COURT ST",
            "address_2": "SUITE #403",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013679",
            "telephone_number": "815-939-3190",
            "fax_number": "815-935-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAYANI",
        "first_name": "BIPINCHANDRA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01059337A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036044204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044204",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbhayani95094@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "455 W Court St",
            "address_2": "SUITE #403",
            "city": "Kankakee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609013679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BIPIN",
            "last_name": "BHAYANI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Eileen Benz, RDN LDN
• Amanda M Berger, CRNA
• Abhimanyu Beri, MD
• Best Care Behavioral Health and Medical Services P.C.
• Better You Therapeutics, LLC
• Joseph Bianka
• Shelby Elizabeth Billadeau
• Bipin N. Bhayani M.D.,S.C.
• Bipin N. Bhayani M.D.,S.C.
• Jennifer Blanchette, PT

• Urology Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.