Organization Active NPI

Chandarana Medical Associates S.C.

  • Diagnostic Radiology Physician
  • Hinsdale, IL
National Provider Identifier
1164601415
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CHANDARANA MEDICAL ASSOCIATES S.C.
Practice address
5601 S County Line Rd
Hinsdale, IL 60521-4875
Phone
(630) 286-4220
Fax
(630) 286-4247
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Kanti Chandarana, MD
Title
President
Phone
(630) 286-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X IL Primary

Addresses

Primary practice location

5601 S County Line Rd
Hinsdale, IL 60521-4875

Mailing address

5601 S County Line Rd
Hinsdale, IL 60521-4875
Phone (630) 286-4220

Other identifiers 3

IdentifierTypeStateIssuer
P00228611OtherILRR MEDICARE
2215278OtherILBLUE SHIELD
740210OtherILMEDICARE LEGACY NUMBER

Other names 1

  • SUBURBAN HOSPITAL RADIOLOGIST Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000889 IL Part B Supplier - Clinic/Group Practice 0840235362 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, IL

National Provider Directory

National Provider Directory

Locations

36750 US 19 N
Unit 2458
Palm Harbor, FL 34684

Practitioners & affiliated clinicians

Practitioners 2

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1164601415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 S COUNTY LINE RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214875",
            "telephone_number": "630-286-4220",
            "fax_number": "630-286-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S COUNTY LINE RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214875",
            "telephone_number": "630-286-4220",
            "fax_number": "630-286-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDARANA MEDICAL ASSOCIATES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "CHANDARANA",
        "authorized_official_first_name": "KANTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-286-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00228611",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2215278",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "740210",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUBURBAN HOSPITAL RADIOLOGIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 10, 2008; 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.