Active NPI
Hemlata D Bakane, M.D.
- Nuclear Imaging & Therapy Physician
- New Lenox, IL
National Provider Identifier
1295746824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- 036-086641
- Practice address
- 12755 Quails Roost Dr
New Lenox, IL 60451-2795 - Phone
- (815) 462-1706
- Fax
- (816) 462-3029
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 036-086641 | IL | Primary |
Addresses
Primary practice location
12755 Quails Roost Dr
New Lenox, IL 60451-2795
Mailing address
12755 W Quails Roost Dr
New Lenox, IL 60451-3754
Phone (815) 462-1706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086641 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-086641 | IL | MD | Nuclear Imaging & Therapy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1295746824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12755 W QUAILS ROOST DR",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513754",
"telephone_number": "815-462-1706",
"fax_number": "816-462-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12755 QUAILS ROOST DR",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604512795",
"telephone_number": "815-462-1706",
"fax_number": "816-462-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKANE",
"first_name": "HEMLATA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "IL",
"license": "036-086641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086641",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.