Individual provider Active NPI

Narendra K Khare, MD

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1235191347
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036132046 Issued in IL
Practice address
1725 W Harrison St
Ste 970
Chicago, IL 60612-3841
Phone
(312) 563-3447
Fax
(312) 563-6617
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R6011 MO
Urology Physician 208800000X 036132046 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Ste 970
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Ste 970
Chicago, IL 60612-3841
Phone (312) 563-3447

Other identifiers 1

IdentifierTypeStateIssuer
200679702MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000457 IL Practitioner - Urology 4587672001 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036132046ILMDUrology Physician
R6011MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center Urology CurrentSince Oct 2, 2018 Accepting new patients
Acute Care Surgery of South Dakota PC Urology CurrentSince Jun 1, 2022 Accepting new patients
Rush University Medical Group Urology CurrentSince Oct 2, 2018 Accepting new patients
Centerpoint Medical Specialists LLC Urology Past Accepting new patients
University Health Physicians Urology Past Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447

1725 W Harrison St
Ste 762
Chicago, IL 60612
Phone (312) 563-1230

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

7309 N Knoxville Ave
Ste 1
Peoria, IL 61614
Phone (309) 643-6105

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

Interoperability endpoints

  • Direct secure messaging: nkhare58171@direct.rush.rush-health.com

Organizations & group practices 5

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1235191347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "STE 970",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-3447",
            "fax_number": "312-563-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "STE 970",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-3447",
            "fax_number": "312-563-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARE",
        "first_name": "NARENDRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "R6011",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036132046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200679702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.