Organization Active NPI

Hinsdale Asthma & Allergy Center SC

  • Allergy & Immunology Physician
  • Hinsdale, IL
National Provider Identifier
1154400331
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036058101 Issued in IL
Legal business name
HINSDALE ASTHMA & ALLERGY CENTER SC
Practice address
333 Chestnut St Ste 203
Hinsdale, IL 60521-3249
Phone
(630) 323-5522
Fax
(630) 323-5524
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Kiran Girdhar, M.D.NPI 1508942822
Title
President
Phone
(630) 323-5522

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 036058101 IL Primary

Addresses

Primary practice location

333 Chestnut St Ste 203
Hinsdale, IL 60521-3249

Mailing address

333 Chestnut St Ste 203
Hinsdale, IL 60521-3249
Phone (630) 323-5522

Other identifiers 1

IdentifierTypeStateIssuer
036058101MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120503000589 IL Part B Supplier - Clinic/Group Practice 2466614607 Receives reassigned benefits from 3 practitioners
Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

333 W Chestnut St
Ste 203
Hinsdale, IL 60521
Phone (630) 323-5522

40 S Clay St
Ste 200E
Hinsdale, IL 60521
Phone (630) 323-5522

105 E 1st St
Ste 203
Hinsdale, IL 60521
Phone (630) 323-5522

2434 Wolf Rd
#R
Westchester, IL 60154

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25998/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1154400331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST STE 203",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213249",
            "telephone_number": "630-323-5522",
            "fax_number": "630-323-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST STE 203",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213249",
            "telephone_number": "630-323-5522",
            "fax_number": "630-323-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE ASTHMA & ALLERGY CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "GIRDHAR",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-323-5522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036058101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.