Organization Active NPI

Immediate Home Care Physicians, Inc

  • Family Medicine Physician
  • Palos Hills, IL
National Provider Identifier
1134521917
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IMMEDIATE HOME CARE PHYSICIANS, INC
Practice address
10714 S Roberts Rd Ste B
Palos Hills, IL 60465-2314
Phone
(815) 616-2906
NPI assigned
Sep 23, 2014
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Rohit Kumar
Title
President
Phone
(815) 616-2906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

10714 S Roberts Rd Ste B
Palos Hills, IL 60465-2314

Mailing address

10714 S Roberts Rd Ste B
Palos Hills, IL 60465-2314
Phone (815) 616-2906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141202002633 IL Part B Supplier - Clinic/Group Practice 2567521594 Receives reassigned benefits from 4 practitioners
Practice locations: Palos Hills, IL

National Provider Directory

National Provider Directory

Locations

10516 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 631-1326

10714 S Roberts Rd
Ste B
Palos Hills, IL 60465
Phone (708) 608-8948

10714 S Roberts Rd
Ste C
Palos Hills, IL 60465
Phone (708) 631-1326

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": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1134521917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 S ROBERTS RD STE B",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652314",
            "telephone_number": "815-616-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 S ROBERTS RD STE B",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652314",
            "telephone_number": "815-616-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE HOME CARE PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-616-2906"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.