MPS Kohli MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036092528 Issued in IL

Legal business name

MPS KOHLI MD SC

Practice address

950 N York Rd
Suite 205
Hinsdale, IL 60521

Phone

(630) 590-5751

Fax

(630) 590-5753

NPI assigned

Feb 10, 2009

Last updated

Aug 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maninder S Kohli, M.D.NPI 1851390348

Title

President

Phone

(630) 590-5751

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Maninder S. Kohli, M.D.

  • Internal Medicine Physician
  • Hinsdale, IL
  • NPI 1851390348
  Medicare reassignment NPD Authorized official
• Natalie Salvino, APN, FNP-BC

  • Family Nurse Practitioner
  • Highland Park, IL
  • NPI 1093181067
  Medicare reassignment NPD
• Mohammad Ajmal Khan, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1487653838
  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1215176557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N YORK RD STE 205",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218609",
            "telephone_number": "630-590-5751",
            "fax_number": "630-590-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N YORK RD",
            "address_2": "SUITE 205",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-590-5751",
            "fax_number": "630-590-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPS KOHLI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "MANINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-590-5751",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036092528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2234079",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092528",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Moroney, APRN
• Joshua Morris, L.P.C.
• Nicole Dorothy Moses, MD
• Mark Moy, MD
• Michelle Moy
• Kristen Mshar, R.D., L.D.N., C.D.E.
• Issa E Muasher, M.D.
• Helena Muirragui, MD
• Multispecialty Medical Center LTD
• Mum Supports LLC

• Internal Medicine Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.