Javed Iqbal Bangash, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-060695 Issued in IL

Practice address

2050 Larkin Ave
Suite 101
Elgin, IL 60123-4405

Phone

(847) 742-9698

Fax

(847) 742-9743

NPI assigned

May 16, 2006

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment NPD
• Javed I. Bangash, M.D.S.C

  • Pediatrics Physician
  • Elgin, IL
  • NPI 1346420890
  Authorized official Same address or phone
• Mercy Health System Corporation

  dba Mercy Walworth Hospital and Medical Center

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1326090598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234405",
            "telephone_number": "847-742-9698",
            "fax_number": "847-742-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234405",
            "telephone_number": "847-742-9698",
            "fax_number": "847-742-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGASH",
        "first_name": "JAVED",
        "middle_name": "IQBAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "336025262",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-060695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "045000608",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060695",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Leah Baldwin
• Richard M Baley, M.D.
• Aarti Bammi, M.S, R.D., L.D., CDE
• Stanislaw A Banas, MD
• Julia Banasik, MA
• Suleman J Bangash, DO
• Eric Banks
• Rebecca Barajas
• Safwan Barakat, M.D.
• Janeth Barba, LCSW

• Pediatrics Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.