Individual provider Active NPI

Basant K Jhawar, M.D.

  • Gastroenterology Physician
  • Joliet, IL
National Provider Identifier
1205878048
Registry record updated Nov 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-069599 Issued in IL
Practice address
1423 Essington Rd
Joliet, IL 60435-2873
Phone
(815) 741-8551
Fax
(815) 741-2251
NPI assigned
Jun 12, 2006
Last updated
Nov 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036-069599 IL Primary

Addresses

Primary practice location

1423 Essington Rd
Joliet, IL 60435-2873

Mailing address

1423 Essington Rd
Joliet, IL 60435-2873
Phone (815) 741-8551

Other identifiers 2

IdentifierTypeStateIssuer
036-069599MedicaidIL
099-00548-51OtherILBCBS

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
I20080109000078 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 1456359017 Practice locations: Joliet, IL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-069599ILMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416700800000",
    "number": "1205878048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352873",
            "telephone_number": "815-741-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352873",
            "telephone_number": "815-741-8551",
            "fax_number": "815-741-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAWAR",
        "first_name": "BASANT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-069599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-069599",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "099-00548-51",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.