Innovative Platinum Care, SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36111153 Issued in IL

Legal business name

INNOVATIVE PLATINUM CARE, SC

Practice address

2400 N Ashland Ave
Suite 150
Chicago, IL 60614-2021

Phone

(773) 270-5600

Fax

(773) 360-7378

NPI assigned

Oct 5, 2015

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rahul Khare, M.D.NPI 1043248743

Title

President

Phone

(773) 270-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rahul Khare, MD

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1043248743
  Medicare reassignment Care Compare group NPD Authorized official
• James M Arons, D.O.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1558351643
  Medicare reassignment Care Compare group NPD
• Maxwell Arons, D.O

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1558718809
  Medicare reassignment Care Compare group NPD
• Steven Broderick, M.D.

  • Family Medicine Physician
  • Hinsdale, IL
  • NPI 1164877882
  Medicare reassignment Care Compare group NPD
• Nithin Charlly, MD

  • Family Medicine Physician
  • Grayslake, IL
  • NPI 1831849744
  Medicare reassignment Care Compare group NPD
• Megan Crisham

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1265741268
  Medicare reassignment Care Compare group NPD
• Renata C Gazzi, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1710152301
  Medicare reassignment Care Compare group NPD
• Marla Kushner, DO

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1538119268
  Medicare reassignment Care Compare group NPD
• James G Nee, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1932159282
  Medicare reassignment Care Compare group NPD
• Corey Shuck, LSW

  • Social Worker
  • Chicago, IL
  • NPI 1255086096
  Medicare reassignment Care Compare group NPD
• Neda Svrakic, MD

  • Student in an Organized Health Care Education/Training Program
  • North Chicago, IL
  • NPI 1629719620
  Medicare reassignment Care Compare group NPD
• Farah Ahmed, DO

  • Family Medicine Physician
  • Monroe, MI
  • NPI 1346734050

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1114397056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ASHLAND AVE",
            "address_2": "SUITE 150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142021",
            "telephone_number": "773-270-5600",
            "fax_number": "773-360-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ASHLAND AVE",
            "address_2": "SUITE 150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142021",
            "telephone_number": "773-270-5600",
            "fax_number": "773-360-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PLATINUM CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "KHARE",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-270-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36111153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Health Management Inc
• Innovative IV Care, PLLC
• Innovative Medspa PLLC
• Innovative Pediatric Therapy, Inc.
• Innovative Pediatrics LLC
• Innovative Social Work Solutions, P.C. (Isws)
• Innovative Therapy Solutions, LLC
• Ruben Inocencio, MD
• Lenka Inostroza
• Inova Solutions LLC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.