Roopal B Thakkar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-109884 Issued in IL

Practice address

1050 W Keswick LN
Lake Forest, IL 60045-1138

Phone

(847) 505-6150

NPI assigned

Dec 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marta V Thakkar, MD,SC

  • Neonatal-Perinatal Medicine Physician
  • Milwaukee, WI
  • NPI 1316448814
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1215266291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W KESWICK LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451138",
            "telephone_number": "847-505-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W KESWICK LN",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451138",
            "telephone_number": "847-505-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "ROOPAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-109884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Faith C. Terkildsen, MD
• Michael W Terkildsen, M.D.
• Anthony Paul Terrasse, M.D.
• Chad Michael Teven, M.D.
• TFM Services, LLC
• The Optometrists, P.C.
• The Yellin Holistic Center for Being Well Inc.
• Dhanya Thomas, OTR/L
• Adam Tiagonce, M.D.
• Margaret Adela Timm, DVM

• Internal Medicine Physician in Lake Forest, IL
• Providers in Lake Forest, 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 Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.