Active NPI
Keyur M. Chauhan, M.D.
- Family Medicine Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036130792
- Practice address
- 2000 Glenwood Ave
Suite 107
Joliet, IL 60435-5676 - Phone
- (815) 741-4445
- Fax
- (815) 741-3047
- NPI assigned
- Apr 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036130792 | IL | |
| Family Medicine Physician | 207Q00000X | 036130792 | IL | Primary |
Addresses
Primary practice location
2000 Glenwood Ave
Suite 107
Joliet, IL 60435-5676
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124261748 | Other | NPI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kchauhan117143@direct.edward.org | ||
| Direct Messaging Address | kchauhan117143@dulyhealthandcare.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121017000146 | IL | Practitioner - Internal Medicine | 5395995906 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dupage Medical Group LTD
Practice addresses (Care Compare)
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
Hospital & facility affiliations
- Residential Home Health
- Newsome Home Health Care & Purpose Care of Illinois - Joliet
- Elara Caring III
- Silver Cross Home Health
- Prime Home Care - Joliet
- Lightways Hospice and Serious Illness Care
- Saint Joseph Medical Center
- Silver Cross Hospital and Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036130792 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
2000 Glenwood Ave
Ste 107
Joliet, IL 60435
Phone (815) 741-4445
2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201
Interoperability endpoints
- kchauhan117143@dulyhealthandcare.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tinley Park, IL
- NPI 1932322187
-
- Community Based Hospice Care Agency
- Joliet, IL
- NPI 1043212103
Hospice
-
- Home Health Agency
- Joliet, IL
- NPI 1740592336
-
- Home Health Agency
- Joliet, IL
- NPI 1740098276
-
- Home Health Agency
- Lisle, IL
- NPI 1336377365
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
Hospital
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
Hospital
-
- Home Health Agency
- New Lenox, IL
- NPI 1265558852
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1124261748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GLENWOOD AVE",
"address_2": "SUITE 107",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355676",
"telephone_number": "815-741-4445",
"fax_number": "815-741-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUHAN",
"first_name": "KEYUR",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-13",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036130792",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036130792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124261748",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kchauhan117143@direct.edward.org",
"affiliation": "N",
"address_1": "2000 Glenwood Ave",
"address_2": "Suite 107",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "604355676",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kchauhan117143@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "2000 Glenwood Ave",
"address_2": "Suite 107",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "604355676",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.