Organization Active NPI

Yorkville Internists, S.C.

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1306869656
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036107028 Issued in IL
Legal business name
YORKVILLE INTERNISTS, S.C.
Practice address
2720 E New York St
Ste #108
Aurora, IL 60502-9300
Phone
(630) 820-7045
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Sanjay A Thakkar, MDNPI 1073548483
Title
President
Phone
(630) 820-7045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036107028 IL Primary

Addresses

Primary practice location

2720 E New York St
Ste #108
Aurora, IL 60502-9300

Mailing address

2720 E New York St
Ste #108
Aurora, IL 60502-9300
Phone (630) 820-7045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060912000589 IL Part B Supplier - Clinic/Group Practice 5496759011 Receives reassigned benefits from 5 practitioners
Practice locations: Aurora, IL; Oswego, IL; Winfield, IL; Yorkville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1068600Yorkville Internists S C2720 E New York St Ste 108, Aurora, IL 60502Certificate of waiverMay 15, 2027

National Provider Directory

National Provider Directory

Locations

2720 E New York St
Aurora, IL 60502
Phone (847) 423-2667

2720 E New York St
Ste 108
Aurora, IL 60502
Phone (630) 820-7045

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1306869656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E NEW YORK ST",
            "address_2": "STE #108",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029300",
            "telephone_number": "630-820-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E NEW YORK ST",
            "address_2": "STE #108",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029300",
            "telephone_number": "630-820-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKVILLE INTERNISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-820-7045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.