Active NPI
Himja Bhatt
- Family Nurse Practitioner
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.019956
- Practice address
- 2202 Essington Rd Ste 101
Joliet, IL 60435-1604 - Phone
- (815) 676-5310
- NPI assigned
- Sep 3, 2019
- Last updated
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209.019956 | Other | IL | IDFPR |
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
Enrollment records 1
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
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 100
- Quality
- 93.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.019956 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renuka H Bhatt MDSC | Single Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.