Kesava Krishna Bhogaraju, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

900 Middleton LN
Inverness, IL 60010-6136

Phone

(847) 946-6169

Fax

(847) 428-5231

NPI assigned

Jul 6, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kesava Krishna Bhogaraju Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154529618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MIDDLETON LN",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600106136",
            "telephone_number": "847-946-6169",
            "fax_number": "847-428-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MIDDLETON LN",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600106136",
            "telephone_number": "847-946-6169",
            "fax_number": "847-428-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOGARAJU",
        "first_name": "KESAVA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESAVA",
            "last_name": "BHOGARAJU",
            "middle_name": "KRISHNA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aysha Azimuddin
• Falilat Olajumoke Bakare, APRN
• Joseph Vincent Baldassano, DDS MSD
• Barrington Plastic Surgery, LTD
• Rebecca Benson, MHA, MS
• Jennifer Bochat, MA, BCBA
• Valerie A Bond, MA, LPCP
• Susan Jean Brach
• Bravo Care of Inverness Inc (Rosewood Care Center of Inverness)
• Brennan Counseling, P.C.

• Family Medicine Physician in Inverness, IL
• Providers in Inverness, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.