Organization Active NPI

Premier Health Consultants Inc

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1205202009
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER HEALTH CONSULTANTS INC
Practice address
2815 Forbs Avenue Suite 107
Hoffman Estates, IL 60192
Phone
(312) 404-9818
Fax
(630) 869-0360
NPI assigned
Aug 15, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Sathishkumar Cullath
Title
President
Phone
(312) 404-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2815 Forbs Avenue Suite 107
Hoffman Estates, IL 60192

Mailing address

2815 Forbs Avenue Suite 107
Hoffman Estates, IL 60192
Phone (312) 404-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151015000149 IL Part B Supplier - Clinic/Group Practice 1456660323 Receives reassigned benefits from 6 practitioners
Practice locations: Hoffman Estates, IL
O20171127001400 WI Part B Supplier - Clinic/Group Practice 1456660323 Receives reassigned benefits from 3 practitioners
Practice locations: Jefferson, WI

National Provider Directory

National Provider Directory

Locations

2815 Forbs Ave
#10718
Hoffman Estates, IL 60192
Phone (312) 404-9818

2815 Forbs Ave
Ste 10718
Hoffman Estates, IL 60192

Practitioners & affiliated clinicians

Practitioners 6

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": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1205202009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVENUE SUITE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60192",
            "telephone_number": "312-404-9818",
            "fax_number": "630-869-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVENUE SUITE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60192",
            "telephone_number": "312-404-9818",
            "fax_number": "630-869-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "CULLATH",
        "authorized_official_first_name": "SATHISHKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-404-9818"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.