Active NPI
Arvind Mahatme, M.D.
- Surgery Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036138653
- Practice address
- 7180 Spring Brook Rd
Rockford, IL 61114-6700 - Phone
- (815) 971-2299
- Fax
- (815) 971-9959
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101237863 | VA | |
| Surgery Physician | 208600000X | 036138653 | IL | Primary |
Addresses
Primary practice location
7180 Spring Brook Rd
Rockford, IL 61114-6700
Mailing address
7180 Spring Brook Rd
Rockford, IL 61114-6700
Phone (815) 971-2299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036138653 | IL | MD | Surgery Physician |
| 0101237863 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Ellis Hospital | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
7180 Spring Brook Rd
Rockford, IL 61114
Phone (779) 696-2750
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1104040922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 SPRING BROOK RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611146700",
"telephone_number": "815-971-2299",
"fax_number": "815-971-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 SPRING BROOK RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611146700",
"telephone_number": "815-971-2299",
"fax_number": "815-971-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHATME",
"first_name": "ARVIND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101237863",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036138653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.