Organization Active NPI

Internal Medicine Physicians Inc.

  • Internal Medicine Physician
  • Frankfort, IL
National Provider Identifier
1093128068
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036122119 Issued in IL
Legal business name
INTERNAL MEDICINE PHYSICIANS INC.
Practice address
9875 W Lincoln Hwy Ste 104
Frankfort, IL 60423-1934
Phone
(815) 464-1333
NPI assigned
Jun 8, 2014
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
Dr. Rachna Garg, MDNPI 1487629820
Title
President
Phone
(708) 475-5632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036122119 IL Primary

Addresses

Primary practice location

9875 W Lincoln Hwy Ste 104
Frankfort, IL 60423-1934

Mailing address

PO Box 688
Mokena, IL 60448-0688
Phone (815) 464-1333

Other identifiers 1

IdentifierTypeStateIssuer
036122119MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141106000905 IL Part B Supplier - Clinic/Group Practice 8123240108 Receives reassigned benefits from 1 practitioner
Practice locations: Frankfort, IL

National Provider Directory

National Provider Directory

Locations

9875 W Lincoln Hwy
Ste 104
Frankfort, IL 60423
Phone 6302812496 ext. 63028

Practitioners & affiliated clinicians

Practitioners 1

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": "1402185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093128068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604480688",
            "telephone_number": "815-464-1333",
            "fax_number": "815-464-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 W LINCOLN HWY STE 104",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231934",
            "telephone_number": "815-464-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE PHYSICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "RACHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-475-5632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036122119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, 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.