Bharati Chittineni, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036-105923 Issued in IL

Practice address

550 E Boughton Rd
Suite 170
Bolingbrook, IL 60440-2100

Phone

(262) 898-4400

Fax

(630) 739-3377

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ab Dermatology LLCGroup PAC ID 4789906322, 10 clinicians

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bharati.chittineni@forefrontdermatology.emadirect.md

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.

• Ab Dermatology LLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1285043646
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  dba Premier Dermatology

  • Dermatology Physician
  • Crest Hill, IL
  • NPI 1053783308
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Moline, IL
  • NPI 1871046995
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Des Plaines Dermatology, LTD.

  • Dermatology Physician
  • Des Plaines, IL
  • NPI 1902127194
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1275525495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "866-630-9882",
            "fax_number": "920-682-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD",
            "address_2": "SUITE 170",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402100",
            "telephone_number": "262-898-4400",
            "fax_number": "630-739-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTINENI",
        "first_name": "BHARATI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-105923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bharati.chittineni@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "550 E Boughton Rd",
            "address_2": "Suite 170",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604402100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chicagoland Sport Chiropractic SC
• Joel A Chinnici, D.C.
• Prasanth Chinthagada, MD
• Stacy Lynne Chirio, LCSW
• Chiro One Wellness Center of Bolingbrook LLC
• Priti C Chokshi, DDS
• Sonal Desai Choudhary, RD, LDN
• Robina Saleem Choudhry, LPC
• Melissa Anne Chrisos
• Angelika Chumikowski

• Dermatology Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.