NPIMap

Individual provider Active NPI

Jitinder Singh, D.O.

  • Family Medicine Physician
  • New Lenox, IL
National Provider Identifier
1194812602
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036089209 Issued in IL
Practice address
1890 Silver Cross Blvd
Suite 570
New Lenox, IL 60451-9508
Phone
(815) 463-3700
Fax
(815) 463-3701
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036089209 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
Suite 570
New Lenox, IL 60451-9508

Mailing address

1890 Silver Cross Blvd
Suite 570
New Lenox, IL 60451-9508
Phone (815) 463-3700

Other identifiers 1

IdentifierTypeStateIssuer
036089209MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000387 IL Practitioner - Family Practice 7315859956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Candr Medical Group SCGroup PAC ID 0143387431, 9 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 570
New Lenox, IL 60451-9606
Phone (815) 463-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
C&R Medical Group SC Family Medicine CurrentSince Apr 1, 2009 Accepting new patients
C & R Medical Group, S.C. Family Medicine Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 570
New Lenox, IL 60451
Phone (815) 463-3700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCGAA/Endpoint/FHCGAA
  • Direct secure messaging: jitinder.singh@crg.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1194812602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 570",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519508",
            "telephone_number": "815-463-3700",
            "fax_number": "815-463-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 570",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519508",
            "telephone_number": "815-463-3700",
            "fax_number": "815-463-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JITINDER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089209",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.