Individual provider Active NPI

Himja Bhatt

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1285282210
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019956 Issued in IL
Practice address
2202 Essington Rd Ste 101
Joliet, IL 60435-1604
Phone
(815) 676-5310
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.019956 IL Primary

Addresses

Primary practice location

2202 Essington Rd Ste 101
Joliet, IL 60435-1604

Mailing address

5705 Holmes Ave Apt 1C
Clarendon Hills, IL 60514-1685
Phone (630) 484-1908

Other practice location 1

10743 W 159th St
Orland Park, IL 60467-4531
Phone (708) 226-0044

Other practice location 2

570 Village Center Dr Ste 201
Burr Ridge, IL 60527-4521
Phone (630) 789-9900

Other practice location 3

120 Batson Ct
New Lenox, IL 60451-1578
Phone (815) 717-8606

Other identifiers 1

IdentifierTypeStateIssuer
209.019956OtherILIDFPR

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018002005 IL Practitioner - Nurse Practitioner 8729319967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renuka H Bhatt MDSCGroup PAC ID 1557378478, 7 clinicians

Practice addresses (Care Compare)

2202 Essington Rd
Suite 101
Joliet, IL 60435-1604
Phone (815) 676-5310

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
93.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.019956ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renuka H Bhatt MDSC Single Specialty CurrentSince Oct 1, 2019 Accepting new patients
Bloom Plastic Surgery SC Single Specialty Past Accepting new patients

Locations

570 Village Center Dr
Ste 201
Burr Ridge, IL 60527
Phone (312) 549-8961

2202 Essington Rd
Ste 101
Joliet, IL 60435
Phone (815) 676-5310

120 Batson Ct
New Lenox, IL 60451
Phone (815) 717-8515

10743 W 159th St
Orland Park, IL 60467
Phone (708) 226-0044

Interoperability endpoints

  • Direct secure messaging: hbhatt@fineskin.encitedirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1285282210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 HOLMES AVE APT 1C",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141685",
            "telephone_number": "630-484-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ESSINGTON RD STE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351604",
            "telephone_number": "815-676-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10743 W 159th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604674531",
            "country_code": "US",
            "telephone_number": "708-226-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Village Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605274521",
            "country_code": "US",
            "telephone_number": "630-789-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Batson Ct",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604511578",
            "country_code": "US",
            "telephone_number": "815-717-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATT",
        "first_name": "HIMJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "209.019956",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.