Bakul K Pandya, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036054898 Issued in IL

Practice address

75 129TH Infantry Dr
Joliet, IL 60435-5134

Phone

(815) 714-2301

Fax

(815) 741-2348

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Bakul K. Pandya, M.D.S.C.

  • Neurology Physician
  • Joliet, IL
  • NPI 1114107422
  NPD Authorized official

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1104814342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355134",
            "telephone_number": "815-714-2301",
            "fax_number": "815-741-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 129TH INFANTRY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355134",
            "telephone_number": "815-714-2301",
            "fax_number": "815-741-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "BAKUL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036054898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain & Spine Institute Surgery Center LLC
• Pain & Spine Institute, LLC
• Pain & Spine Sugical Suite
• Elizabeth Palumbo, COTA
• Spiro Panagakis, M.D.
• Larry Luke Panozzo Jr., CCC-SLP
• Regina Mary Paolucci-Delsasso, DDS
• Ada Vera Paolucci, D.P.M
• Gabriella M Paolucci, DDS
• Rudolf C Paolucci, DDS

• Neurology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.