Jennifer Louise Vakharia, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.112064 Issued in IL

Practice address

1020 S Grove Ave
Barrington, IL 60010-5025

Phone

(630) 712-6373

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Louise Neitzer Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apollo Hospitalist Group LLC

  • Internal Medicine Physician
  • Lake Zurich, IL
  • NPI 1396003737
  Medicare reassignment NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1174695985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S GROVE AVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105025",
            "telephone_number": "630-712-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S GROVE AVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105025",
            "telephone_number": "630-712-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKHARIA",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.112064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEITZER",
            "middle_name": "LOUISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• True Blue Health & Wellness
• Marguerite Tyler, DNP-FNP
• Haileiy Nicole Tylisz, RD
• United Surgical Anesthesia LTD
• Faheem L Uraizee, MD
• Preslav Valchev, MD
• Guadalupe A Valencia
• David Paul Van Dam, M.D.
• Gretchen Vanderbosch, RD, LDN
• Elizabeth B Vangemert, LMT

• Internal Medicine Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.