Active NPI
Manali Doshi Kalra, MD
- Ophthalmology Physician
- North Chicago, IL
National Provider Identifier
1205000924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036.123163
- Practice address
- 3001 Green Bay Rd
North Chicago, IL 60064-3048 - Phone
- (224) 610-7151
- NPI assigned
- Apr 14, 2008
- Last updated
- May 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036.123163 | IL | Primary |
Addresses
Primary practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Mailing address
1123 W Grace St
#3E
Chicago, IL 60613-3250
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205786 | Other | IL | ESC GROUP MEDICARE DUPAGE CO |
| 1083684922 | Other | IL | THE EYE SPECIALIST CENTER, LLC GRP NPI |
| 1699802421 | Other | IL | ESC OPTICAL GRP NPI NUMBER |
| 2057850055 | Other | IL | INDIVIDUAL PTAN |
| 205785 | Other | IL | ESC GROUP MEDICARE COOK CO |
Other names 1
- Manali Doshi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.123163 | IL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1205000924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 W GRACE ST",
"address_2": "#3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643048",
"telephone_number": "224-610-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALRA",
"first_name": "MANALI",
"middle_name": "DOSHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036.123163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESC GROUP MEDICARE DUPAGE CO",
"identifier": "205786",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE EYE SPECIALIST CENTER, LLC GRP NPI",
"identifier": "1083684922",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESC OPTICAL GRP NPI NUMBER",
"identifier": "1699802421",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "2057850055",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESC GROUP MEDICARE COOK CO",
"identifier": "205785",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MANALI",
"last_name": "DOSHI",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.