Individual provider Active NPI

Brinderjit Benipal, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1205552379
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026008 Issued in IL
Practice address
200 N la Salle St Ste 1550
Chicago, IL 60601-1034
Phone
(888) 660-4425
NPI assigned
Oct 19, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209026008 IL Primary

Addresses

Primary practice location

200 N la Salle St Ste 1550
Chicago, IL 60601-1034

Mailing address

200 N la Salle St Ste 1550
Chicago, IL 60601-1034

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125001205 IL Practitioner - Nurse Practitioner 2264803584 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209026008ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Family CurrentSince Aug 12, 2024 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Jul 10, 2023 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Oct 14, 2022 Accepting new patients
Paragon Clinical LLC Family CurrentSince Mar 4, 2024 Accepting new patients
Value Based Long Term Care H PC CurrentSince Oct 14, 2025 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

200 N La Salle St
Ste 1550
Chicago, IL 60601
Phone (773) 505-7027

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

332 S Michigan Ave
Fl 4
Chicago, IL 60604

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

12450 Walker Rd
Lemont, IL 60439
Phone (630) 243-0400

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1205552379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LA SALLE ST STE 1550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LA SALLE ST STE 1550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011034",
            "telephone_number": "888-660-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIPAL",
        "first_name": "BRINDERJIT",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.