Organization Active NPI

Mdproactive.Com,LLC

Doing business as Webdoctors.Com

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1215416292
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-069044 Issued in IL
Legal business name
MDPROACTIVE.COM,LLC
Doing business as
Webdoctors.Com
Practice address
1995 Springbrook Square Dr Ste 119
Naperville, IL 60564-5953
Phone
(630) 369-6644
Fax
(630) 369-3428
NPI assigned
Aug 9, 2018
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Narendra K GargNPI 1134136369
Title
Owner
Phone
(630) 369-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 036-069044 IL Primary

Addresses

Primary practice location

1995 Springbrook Square Dr Ste 119
Naperville, IL 60564-5953

Mailing address

1995 Springbrook Square Dr Ste 119
Naperville, IL 60564-5953
Phone (630) 369-6644

Other names 1

  • WEBDOCTORS.COM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210420000844 IL Part B Supplier - Clinic/Group Practice 5395153944 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1995 Springbrook Square Dr
Ste 119
Naperville, IL 60564
Phone (630) 369-6644

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1215416292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 SPRINGBROOK SQUARE DR STE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645953",
            "telephone_number": "630-369-6644",
            "fax_number": "630-369-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 SPRINGBROOK SQUARE DR STE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645953",
            "telephone_number": "630-369-6644",
            "fax_number": "630-369-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDPROACTIVE.COM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-369-6644"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-069044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEBDOCTORS.COM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.