Organization Active NPI

Bijoy Hegde MD, PC

  • Physical Medicine & Rehabilitation Physician
  • Granite City, IL
National Provider Identifier
1184741142
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BIJOY HEGDE MD, PC
Practice address
2044 Madison Ave
Suite 15
Granite City, IL 62040-4641
Phone
(618) 451-1500
NPI assigned
Mar 23, 2007
Last updated
Jan 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Bijoy Hegde, MDNPI 1710036025
Title
President
Phone
(618) 451-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

2044 Madison Ave
Suite 15
Granite City, IL 62040-4641

Mailing address

2044 Madison Ave
Suite 15
Granite City, IL 62040-4641
Phone (618) 451-1500

Other identifiers 1

IdentifierTypeStateIssuer
6032070OtherILBC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040226000881 MO Part B Supplier - Clinic/Group Practice 8022904937 Receives reassigned benefits from 1 practitioner
Practice locations: Des Peres, MO; St Peters, MO; St Louis, MO; Chesterfield, MO
O20110201000054 IL Part B Supplier - Clinic/Group Practice 8022904937 Receives reassigned benefits from 1 practitioner
Practice locations: Granite City, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1184741142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 MADISON AVE",
            "address_2": "SUITE 15",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404641",
            "telephone_number": "618-451-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 MADISON AVE",
            "address_2": "SUITE 15",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404641",
            "telephone_number": "618-451-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJOY HEGDE MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "HEGDE",
        "authorized_official_first_name": "BIJOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-451-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "6032070",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.