Active NPI
Prism Holistic Care LTD
Doing business as Prism Direct Lab
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mehbub Kapadia, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- PRISM HEALTH LAB
- PRISM HOLISTIC CARE LTD
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lincolnwood | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1558584391
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.