Individual provider Active NPI

Archana R Narayan, MD

  • Allergy Physician
  • Joliet, IL
National Provider Identifier
1285830935
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
036118762 Issued in IL
Practice address
229 N Hammes Ave
Joliet, IL 60435-8100
Phone
(815) 744-2300
Fax
(815) 744-9208
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 036118762 IL Primary

Addresses

Primary practice location

229 N Hammes Ave
Joliet, IL 60435-8100

Mailing address

229 N Hammes Ave
Joliet, IL 60435-8100
Phone (815) 744-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160404001159 TX Practitioner - Allergy/Immunology 8921109075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandeep Gupta, MD, PAGroup PAC ID 2365411741, 10 clinicians

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 300
Plano, TX 75093-4409
Phone (972) 596-4383

8210 Walnut Hill LN
Dallas, TX 75231-4421
Phone (214) 369-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036118762ILMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Gupta, MD, PA Allergy CurrentSince Mar 1, 2016 Accepting new patients

Locations

3417 Gaston Ave
Ste 760
Dallas, TX 75246
Phone (214) 369-1907

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

8220 Walnut Hill Ln
Ste 101
Dallas, TX 75231
Phone (214) 368-6707

5068 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 447-8330

Interoperability endpoints

  • Direct secure messaging: narayan.archana.004.0430010@ntaa.meditab.direct-ci.com
  • Direct secure messaging: anarayan457446@direct.sw.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1285830935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358100",
            "telephone_number": "815-744-2300",
            "fax_number": "815-744-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358100",
            "telephone_number": "815-744-2300",
            "fax_number": "815-744-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYAN",
        "first_name": "ARCHANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "036118762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.