NPIMap

Organization Active NPI

Umesh P. Goswami MD SC

Doing business as Progressive Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Dekalb, IL
National Provider Identifier
1124207311
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036061013 Issued in IL
Legal business name
UMESH P. GOSWAMI MD SC
Doing business as
Progressive Physical Medicine
Practice address
625 E. Bethany Rd
Suite 3
Dekalb, IL 60115-4908
Phone
(815) 758-5100
Fax
(815) 758-5144
NPI assigned
Oct 24, 2007
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. Panna U Goswami, MDNPI 1871587303
Title
Physician
Phone
(815) 762-2535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036061013 IL Primary

Addresses

Primary practice location

625 E. Bethany Rd
Suite 3
Dekalb, IL 60115-4908

Mailing address

625 E. Bethany Rd
Suite 3
Dekalb, IL 60115-4908
Phone (815) 758-5100

Other names 1

  • Progressive Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1124207311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E. BETHANY RD",
            "address_2": "SUITE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154908",
            "telephone_number": "815-758-5100",
            "fax_number": "815-758-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E. BETHANY RD",
            "address_2": "SUITE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154908",
            "telephone_number": "815-758-5100",
            "fax_number": "815-758-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMESH P. GOSWAMI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "PANNA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-762-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036061013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.