Active NPI
Besagarahally C Shankara, M.D.
- Specialist
- McHenry, IL
National Provider Identifier
1144290495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036070042
- Practice address
- 406 Front St
Suite C
McHenry, IL 60050-5593 - Phone
- (815) 344-6868
- Fax
- (815) 344-5454
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036070042 | IL | Primary |
Addresses
Primary practice location
406 Front St
Suite C
McHenry, IL 60050-5593
Mailing address
406 North Front Street
Suite C
McHenry, IL 60050
Phone (815) 344-6868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036070042 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430611200000",
"number": "1144290495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 NORTH FRONT STREET",
"address_2": "SUITE C",
"city": "MCHENRY",
"state": "IL",
"postal_code": "60050",
"telephone_number": "815-344-6868",
"fax_number": "815-344-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 FRONT ST",
"address_2": "SUITE C",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600505593",
"telephone_number": "815-344-6868",
"fax_number": "815-344-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKARA",
"first_name": "BESAGARAHALLY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2015-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036070042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036070042",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.