Active NPI
Bipin N. Bhayani M.D.,S.C.
- Clinical Medical Laboratory
- Kankakee, IL
National Provider Identifier
1285768531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Urology Physician
- Kankakee, IL
- NPI 1083634570
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.