R.K. Natesh MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036084014 Issued in IL

Legal business name

R.K. NATESH MD PC

Practice address

1100 Essington Rd
Suite 6
Joliet, IL 60435-8425

Phone

(815) 725-2600

Fax

(815) 725-2601

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marianne Lowe

Title

Biller

Phone

(708) 534-2168

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• RAMANATHAPUR NATESHA Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• R K Natesh, MD, PC

  • Surgery Physician
  • Joliet, IL
  • NPI 1427037043
  Medicare reassignment NPD
• Rupa Natesh, MD

  • Family Medicine Physician
  • Joliet, IL
  • NPI 1548217086
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1114116134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ESSINGTON RD",
            "address_2": "SUITE 6",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358425",
            "telephone_number": "815-725-2600",
            "fax_number": "815-725-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ESSINGTON RD",
            "address_2": "SUITE 6",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358425",
            "telephone_number": "815-725-2600",
            "fax_number": "815-725-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.K. NATESH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "708-534-2168",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036084014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09921473",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00165337",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAMANATHAPUR NATESHA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.