Shobha S Iyengar, MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHOBHA S IYENGAR, MD SC

Practice address

2186 Unit 1
North State Street
Belvidere, IL 61008-3918

Phone

(815) 547-5007

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Shobha S Iyengar, M.D.NPI 1891724241

Title

Provider

Phone

(815) 547-5007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shobha S Iyengar, M.D.

  • Internal Medicine Physician
  • Belvidere, IL
  • NPI 1891724241
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1114115060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 SANDHURST LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072789",
            "telephone_number": "815-547-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 UNIT 1",
            "address_2": "NORTH STATE STREET",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083918",
            "telephone_number": "815-547-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOBHA S IYENGAR, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "IYENGAR",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "815-547-5007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Schmalensee, M.S., CCC-SLP/L
• Diana E Schultz, APN
• Jennifer Schultz, MSW, LCSW
• Timothy S Seppelt, DPT
• Shin S Chen MD LLC
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 133)
• Shopko Stores Operating Co. LLC (ShopKo Optical 133)
• Shoptikal LLC (Fielmann Vision Care 4133)
• Evan J Short, DDS
• Joseph Hahn Silbaugh, D.C.

• Internal Medicine Physician in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.