Organization Active NPI

Prism Holistic Care LTD

Doing business as Prism Direct Lab

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1326663022
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRISM HOLISTIC CARE LTD
Doing business as
Prism Direct Lab
Prism Health Lab
Prism Holistic Care LTD
Practice address
33 W Grand Ave Ste 500
Chicago, IL 60654-6799
Phone
(800) 325-1812
NPI assigned
Jun 9, 2020
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Mehbub Kapadia, MDNPI 1558584391
Title
Director
Phone
(773) 391-9184

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Public Health & General Preventive Medicine Physician 2083P0901X NU
Health Service Clinic/Center 261QH0100X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU
Doula 374J00000X NU

Addresses

Primary practice location

33 W Grand Ave Ste 500
Chicago, IL 60654-6799

Mailing address

6505 N Longmeadow Ave
Lincolnwood, IL 60712-3205
Phone (773) 391-9184

Other names 3

  • PRISM DIRECT LAB Doing business as
  • PRISM HEALTH LAB Doing business as
  • PRISM HOLISTIC CARE LTD Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lincolnwood Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130001546 IL Part B Supplier - Clinic/Group Practice 9931510708 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

1815 S Laramie Ave
Chicago, IL 60804
Phone (773) 391-9184

1321 Tower Rd
Schaumburg, IL 60173
Phone (800) 325-1812

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1326663022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 N LONGMEADOW AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123205",
            "telephone_number": "773-391-9184",
            "fax_number": "773-920-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W GRAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546799",
            "telephone_number": "800-325-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM HOLISTIC CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "MEHBUB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-391-9184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lincolnwood",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "825 E Schaumburg Rd",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601943654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PRISM DIRECT LAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRISM HEALTH LAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRISM HOLISTIC CARE LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRISM HOLISTIC CARE LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.