Individual provider Active NPI

Kanwarpreet Singh Dhami, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1386172245
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.073401 Issued in IL
Practice address
2525 S Michigan Ave
Chicago, IL 60616
Phone
(312) 567-2000
Fax
(312) 567-6073
NPI assigned
May 23, 2017
Reactivated
Jan 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 125.073401 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
Chicago, IL 60616

Mailing address

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (312) 567-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201002001206 IL Practitioner - Internal Medicine 6901225416
I20260320002252 CA Practitioner - Internal Medicine 6901225416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians

Practice addresses (Care Compare)

1205 E N St
Manteca, CA 95336-4932
Phone (209) 576-3525

Hospital & facility affiliations

  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • RML Health Providers Limited Partnership Long-term care hospital, Hinsdale, IL, CCN 142010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.073401ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Specialists, II, S.C. CurrentSince Jul 19, 2022 Accepting new patients
Emergency Medical Specialist, S.C Past Accepting new patients

Locations

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

34816 Eagle Way
Chicago, IL 60678

Organizations & group practices 3

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1386172245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "312-567-2000",
            "fax_number": "312-567-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-567-2000",
            "fax_number": "312-567-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAMI",
        "first_name": "KANWARPREET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-08-06",
        "deactivation_date": "2017-12-28",
        "reactivation_date": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.073401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.