Individual provider Active NPI

Priti Singh, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Burr Ridge, IL
National Provider Identifier
1205831393
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
036072299 Issued in IL
Practice address
16W300 83Rd St Ste 100
Burr Ridge, IL 60527-5896
Phone
(630) 230-3372
Fax
(630) 568-5050
NPI assigned
Jun 16, 2005
Reactivated
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 036072299 IL Primary

Addresses

Primary practice location

16W300 83Rd St Ste 100
Burr Ridge, IL 60527-5896

Mailing address

16W300 83Rd St Ste 100
Burr Ridge, IL 60527-5896
Phone (630) 230-3372

Other identifiers 2

IdentifierTypeStateIssuer
036072299MedicaidIL
4372666OtherAETNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040207000309 IL Practitioner - Pediatric Medicine 7214820646 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Neuroscience, SC Neurology With Special Qualifications in Child Neurology CurrentSince Oct 29, 2012 Accepting new patients

Locations

16W300 83rd St
Ste 100
Burr Ridge, IL 60527
Phone (630) 230-3372

16W300 83rd St
Burr Ridge, IL 60527
Phone (630) 349-5599

Interoperability endpoints

  • Direct secure messaging: pritisingh@psmd.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1205831393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16W300 83RD ST STE 100",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275896",
            "telephone_number": "630-230-3372",
            "fax_number": "630-568-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16W300 83RD ST STE 100",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275896",
            "telephone_number": "630-230-3372",
            "fax_number": "630-568-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "PRITI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IL",
            "license": "036072299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072299",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4372666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.