NPIMap

Organization Active NPI

Integrated Patient Solutions of Illinois, P.C.

  • Nephrology Physician
  • Denver, CO
National Provider Identifier
1295457828
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
INTEGRATED PATIENT SOLUTIONS OF ILLINOIS, P.C.
Practice address
1125 17TH St Ste 1000
Denver, CO 80202-2043
Phone
(855) 962-4638
Fax
(720) 826-4852
NPI assigned
Sep 12, 2022
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Laura Chandhok
Title
Director, Support Operations
Phone
(855) 962-4638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

1125 17TH St Ste 1000
Denver, CO 80202-2043

Mailing address

1125 17TH St Ste 1000
Denver, CO 80202-2043
Phone (855) 962-4638

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230128000433 IL Part B Supplier - Clinic/Group Practice 5496126500 Receives reassigned benefits from 31 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1295457828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638",
            "fax_number": "720-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638",
            "fax_number": "720-826-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PATIENT SOLUTIONS OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "CHANDHOK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR, SUPPORT OPERATIONS",
        "authorized_official_telephone_number": "855-962-4638"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.