NPIMap

Individual provider Active NPI

Sandeep Kalra, M.D.

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1376622092
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036113282 Issued in IL
Practice address
640 S Washington St
Ste 380
Naperville, IL 60540-6603
Phone
(630) 527-6390
Fax
(630) 527-6392
NPI assigned
Nov 3, 2006
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036113282 IL Primary

Addresses

Primary practice location

640 S Washington St
Ste 380
Naperville, IL 60540-6603

Mailing address

640 S Washington St
Ste 380
Naperville, IL 60540-6603
Phone (630) 527-6390

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL rmarwaha252346@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000564 IL Practitioner - Internal Medicine 6800850660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rakesh Marwaha MD SCGroup PAC ID 6608766027, 4 clinicians

Practice addresses (Care Compare)

1190 S Naper Blvd
Naperville, IL 60540-8331
Phone (630) 527-6390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Marwaha M.D. S.C. Internal Medicine CurrentSince Sep 1, 2005 Accepting new patients

Locations

3800 Highland Ave
Ste 101
Downers Grove, IL 60515
Phone (630) 351-0775

1190 S Naper Blvd
Naperville, IL 60540
Phone (312) 229-0345

640 S Washington St
Ste 380
Naperville, IL 60540
Phone (630) 272-6441

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Grove of Fox ValleyAurora, IL, CCN 145006 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2014
Feb 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Aurora Pac LLC

    dba The Grove of Fox Valley

    • Skilled Nursing Facility
    • Aurora, IL
    • NPI 1851715262

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1376622092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "address_2": "STE 380",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "630-527-6390",
            "fax_number": "630-527-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "address_2": "STE 380",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "630-527-6390",
            "fax_number": "630-527-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALRA",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "rmarwaha252346@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1190 S Naper Blvd",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605408331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.