Individual provider Active NPI

Bharti N Amin, MD

  • Pediatrics Physician
  • Matteson, IL
National Provider Identifier
1265458343
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036058749 Issued in IL
Practice address
4440 Lincoln Hwy Ste 101
Matteson, IL 60443-3802
Phone
(708) 748-5910
Fax
(708) 748-5984
NPI assigned
Jul 14, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036058749 IL Primary

Addresses

Primary practice location

4440 Lincoln Hwy Ste 101
Matteson, IL 60443-3802

Mailing address

4440 Lincoln Hwy Ste 101
Matteson, IL 60443-3802
Phone (708) 748-5910

Electronic endpoints 5

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address bamin284060@direct.myadvocateaurora.org Direct
Direct Messaging Address bamin284060@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036058749ILMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: bamin284060@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEJACA/Endpoint/AEJACA

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1265458343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 LINCOLN HWY STE 101",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433802",
            "telephone_number": "708-748-5910",
            "fax_number": "708-748-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 LINCOLN HWY STE 101",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433802",
            "telephone_number": "708-748-5910",
            "fax_number": "708-748-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "BHARTI",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036058749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 Lincoln Hwy Ste 101",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604433802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bamin284060@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 Lincoln Hwy Ste 101",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604433802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bamin284060@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 Lincoln Hwy Ste 101",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604433802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 Lincoln Hwy Ste 101",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604433802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 Lincoln Hwy Ste 101",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604433802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.