Organization Active NPI

Bipin N. Bhayani M.D.,S.C.

  • Clinical Medical Laboratory
  • Kankakee, IL
National Provider Identifier
1285768531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIPIN N. BHAYANI M.D.,S.C.
Practice address
455 W Court St
Suite 403
Kankakee, IL 60901-3679
Phone
(815) 939-3190
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bipin N Bhayani, M.D.
Title
Laboratory Director
Phone
(815) 939-3190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X IL Primary

Addresses

Primary practice location

455 W Court St
Suite 403
Kankakee, IL 60901-3679

Mailing address

455 W Court St
Suite 403
Kankakee, IL 60901-3679
Phone (815) 939-3190

National Provider Directory

National Provider Directory

Locations

455 W Court St
Ste 403
Kankakee, IL 60901
Phone (815) 939-3190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285768531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W COURT ST",
            "address_2": "SUITE 403",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013679",
            "telephone_number": "815-939-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W COURT ST",
            "address_2": "SUITE 403",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013679",
            "telephone_number": "815-939-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIPIN N. BHAYANI M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHAYANI",
        "authorized_official_first_name": "BIPIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "815-939-3190",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.