Individual provider Active NPI

Bantu Samridhi Chhangani, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Hobart, IN
National Provider Identifier
1114198223
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
01070080A Issued in IN
Practice address
1500 S Lake Park Ave
Hobart, IN 46342
Phone
(219) 942-0551
NPI assigned
Mar 17, 2008
Last updated
Dec 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01070080A IN
Internal Medicine Physician 207R00000X 4301081132 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301081132 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01070080A IN Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 4301081132 MI

Addresses

Primary practice location

1500 S Lake Park Ave
Hobart, IN 46342

Mailing address

205 Oak Tree CT
Palos Park, IL 60464-1978
Phone (708) 408-1101

Other practice location 1

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

Other practice location 2

245 Cherry St SE
Ste 200
Grand Rapids, MI 49503
Phone (616) 685-6330

Other identifiers 1

IdentifierTypeStateIssuer
1114198223MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110929000540 IN Practitioner - Internal Medicine 3779655824 Reassigns benefits to 4 organizations
I20150113000965 IL Practitioner - Sleep MedicinePractitioner - Internal Medicine 3779655824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

710 S Paulina St
Chicago, IL 60612-3808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070080AINMDInternal Medicine Physician
4301081132MIMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince May 12, 2013 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Dec 11, 2023 Accepting new patients
Northwest Hospitalist Physicians LLP CurrentSince Nov 1, 2015 Accepting new patients
Community Care Network Inc Internal Medicine CurrentSince May 3, 2017 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Saint Mary's Health Services Past Accepting new patients
Trinity Health - Michigan Past Accepting new patients

Locations

1645 W Jackson Blvd
Ste 400
Chicago, IL 60612
Phone (312) 942-5932

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 54
Chicago, IL 60612
Phone (312) 942-5871

1750 W Harrison St
#310
Chicago, IL 60612
Phone (312) 942-5932

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Interoperability endpoints

  • Direct secure messaging: bchhangani101869@direct.rush.rush-health.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1114198223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAK TREE CT",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641978",
            "telephone_number": "708-408-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "46342",
            "telephone_number": "219-942-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Lake Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "46342",
            "country_code": "US",
            "telephone_number": "219-942-0551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Cherry St SE",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49503",
            "country_code": "US",
            "telephone_number": "616-685-6330",
            "fax_number": "616-685-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHHANGANI",
        "first_name": "BANTU",
        "middle_name": "SAMRIDHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01070080A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081132",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301081132",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01070080A",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "4301081132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114198223",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.