Individual provider Active NPI

Bhupesh Dhananjayan, M.D.

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1104931476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LP00613 Issued in RI
Practice address
Memorial Hospital of Rhode Island
111 Brewster Street
Pawtucket, RI 02860-4499
Phone
(401) 729-2142
Fax
(401) 729-2544
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP00613 RI Primary

Addresses

Primary practice location

Memorial Hospital of Rhode Island
111 Brewster Street
Pawtucket, RI 02860-4499

Mailing address

Memorial Hospital of Rhode Island
111 Brewster Street
Pawtucket, RI 02860-4499
Phone (401) 729-2142

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101021001005 IL Practitioner - Internal Medicine 9537269956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Illinois, P.C.Group PAC ID 9537064316, 52 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP00613RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine Current Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104931476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEMORIAL HOSPITAL OF RHODE ISLAND",
            "address_2": "111 BREWSTER STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604499",
            "telephone_number": "401-729-2142",
            "fax_number": "401-729-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMORIAL HOSPITAL OF RHODE ISLAND",
            "address_2": "111 BREWSTER STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604499",
            "telephone_number": "401-729-2142",
            "fax_number": "401-729-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANANJAYAN",
        "first_name": "BHUPESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP00613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.