Individual provider Active NPI

Amit Bharara, MD

  • Pulmonary Disease Physician
  • Schaumburg, IL
National Provider Identifier
1255567962
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036143117 Issued in IL
Practice address
519 S Roselle Rd FL 2
Schaumburg, IL 60193-2925
Phone
(847) 618-4380
Fax
(847) 618-0220
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036143117 IL
Internal Medicine Physician 207R00000X 0101251265 VA
Pulmonary Disease Physician 207RP1001X 036143117 IL Primary

Addresses

Primary practice location

519 S Roselle Rd FL 2
Schaumburg, IL 60193-2925

Mailing address

519 S Roselle Rd FL 2
Schaumburg, IL 60193-2925
Phone (847) 618-4380

Other practice location 1

1250 E Marshall St
Internal Medicine
Richmond, VA 23298-5051
Phone (804) 828-8786

Other identifiers 1

IdentifierTypeStateIssuer
036143117MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sublung@380.direct.myezyaccess.com

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
I20170518001854 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8628226917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

3060 W Salt Creek LN
Arlington Heights, IL 60005-1069

455 S Roselle Rd
Schaumburg, IL 60193-2971
Phone (847) 985-0600

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Internal Medicine CurrentSince Aug 4, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 25, 2024 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

3060 W Salt Creek Ln
Ste 1300
Arlington Heights, IL 60005

1614 W Central Rd
Ste 105
Arlington Hts, IL 60005
Phone (847) 255-9697

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

519 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 618-0535

519 S Roselle Rd
Fl 2
Schaumburg, IL 60193
Phone (847) 618-4380

9669 Kenton Ave
Ste 300
Skokie, IL 60076
Phone (847) 674-6633

Interoperability endpoints

  • Direct secure messaging: abharara111141@direct.nch.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1255567962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S ROSELLE RD FL 2",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932925",
            "telephone_number": "847-618-4380",
            "fax_number": "847-618-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S ROSELLE RD FL 2",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932925",
            "telephone_number": "847-618-4380",
            "fax_number": "847-618-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-8786",
            "fax_number": "804-828-5466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARARA",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036143117",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101251265",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036143117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036143117",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sublung@380.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd Ste 510",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.