Active NPI
Chandarana Medical Associates S.C.
- Diagnostic Radiology Physician
- Hinsdale, IL
National Provider Identifier
1164601415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00228611 | Other | IL | RR MEDICARE |
| 2215278 | Other | IL | BLUE SHIELD |
| 740210 | Other | IL | MEDICARE LEGACY NUMBER |
Other names 1
- SUBURBAN HOSPITAL RADIOLOGIST
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050624000889 | IL | Part B Supplier - Clinic/Group Practice | 0840235362 |
Receives reassigned benefits from 1 practitioner Practice locations: Plainfield, IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Orland Park, IL
- NPI 1902804628
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.