Individual provider Active NPI

Amitabh Singh, M.D.

  • Diagnostic Radiology Physician
  • Elgin, IL
National Provider Identifier
1265494793
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036104459 Issued in IL
Practice address
934 Center St
Elgin, IL 60120-2125
Phone
(847) 429-8998
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036104459 IL Primary

Addresses

Primary practice location

934 Center St
Elgin, IL 60120-2125

Mailing address

34659 Eagle Way
Chicago, IL 60678-1346
Phone (847) 676-0091

Other identifiers 1

IdentifierTypeStateIssuer
036104459MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address asingh282000@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20060509000791 IL Practitioner - Diagnostic Radiology 3274544978 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036104459ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Steuben Radiology Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1420 Renaissance Dr
Ste 307
Park Ridge, IL 60068
Phone (847) 803-1000

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

Interoperability endpoints

  • Direct secure messaging: asingh282000@direct.myadvocateaurora.org

Organizations & group practices 2

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1265494793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34659 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781346",
            "telephone_number": "847-676-0091",
            "fax_number": "847-676-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CENTER ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202125",
            "telephone_number": "847-429-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "AMITABH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036104459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104459",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asingh282000@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "934 Center St",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601202125",
            "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": "934 Center St",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601202125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.