Individual provider Active NPI

Vimi Bajaj, MD FACOG

  • Obstetrics & Gynecology Physician
  • Naperville, IL
National Provider Identifier
1164488763
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036089969 Issued in IL
Practice address
640 South Washington St
Ste 220
Naperville, IL 60540
Phone
(630) 428-1500
Fax
(630) 428-3544
NPI assigned
Apr 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036089969 IL Primary

Addresses

Primary practice location

640 South Washington St
Ste 220
Naperville, IL 60540

Mailing address

PO Box 3754
Oak Brook, IL 60522-3754
Phone (630) 428-1500

Other identifiers 1

IdentifierTypeStateIssuer
036068128MedicaidIL

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

State licenses

LicenseStateTypeSpecialty
036089969ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Adults Internal Medicine,LTD Past Accepting new patients
Michael Feingold, M.D. and Associates, L.L.C. Obstetrics & Gynecology Past Accepting new patients
Vimi Bajaj MD 2 LLC Obstetrics & Gynecology Past Accepting new patients
Anita Arora MD PC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1164488763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3754",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223754",
            "telephone_number": "630-428-1500",
            "fax_number": "630-428-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SOUTH WASHINGTON ST",
            "address_2": "STE 220",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-428-1500",
            "fax_number": "630-428-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "VIMI",
        "name_prefix": "Dr.",
        "credential": "MD FACOG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036089969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.