Nitin Kher MD SC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

036085008 Issued in IL

Legal business name

NITIN KHER MD SC

Practice address

690 E Terra Cotta Ave Ste a
Crystal Lake, IL 60014-3605

Phone

(815) 307-8075

Fax

(815) 344-4302

NPI assigned

Nov 24, 2008

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nitin Kher, MDNPI 1063512325

Title

President

Phone

(815) 307-8075

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Nitin Kher

  • Interventional Cardiology Physician
  • Crystal Lake, IL
  • NPI 1063512325
  Medicare reassignment Authorized official
• Ginny Kamboj, MD

  • Medical Oncology Physician
  • McHenry, IL
  • NPI 1053342428
  NPD
• Sumit Bector, MD

  • Nephrology Physician
  • Crystal Lake, IL
  • NPI 1487831202
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1316192974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600519013",
            "telephone_number": "224-238-4160",
            "fax_number": "847-214-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E TERRA COTTA AVE STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143605",
            "telephone_number": "815-307-8075",
            "fax_number": "815-344-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 Ridgeview Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600507012",
            "country_code": "US",
            "telephone_number": "815-307-8075",
            "fax_number": "815-307-8091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NITIN KHER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "KHER",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-307-8075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036085008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP2616",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "5632380",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.