Individual provider Active NPI

Neha Iyengar, MD

  • Ophthalmology Physician
  • Merrionette Park, IL
National Provider Identifier
1386605061
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036111405 Issued in IL
Practice address
11600 S Kedzie Ave
Merrionette Park, IL 60803
Phone
(708) 388-4400
Fax
(708) 389-8484
NPI assigned
Mar 31, 2006
Last updated
Dec 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036111405 IL Primary

Addresses

Primary practice location

11600 S Kedzie Ave
Merrionette Park, IL 60803

Mailing address

2640 W 183Rd St
Homewood, IL 60430
Phone (708) 798-6633

Other identifiers 1

IdentifierTypeStateIssuer
036111405MedicaidIL

Other names 1

  • Miss Neha Patel Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040915000117 IL Practitioner - Ophthalmology 1658348040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hinsdale Eye Center LLCGroup PAC ID 0345544557, 5 clinicians

Practice addresses (Care Compare)

126 W 1St St
Hinsdale, IL 60521-4013
Phone (630) 325-5200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111405ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSC Anesthesia Services LLC Current Accepting new patients
Hinsdale Eye Center LLC Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients

Locations

126 W 1st St
Hinsdale, IL 60521
Phone (630) 325-5200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: neha.iyengar.p1@direct.hinsdaleeyecenter.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1386605061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "708-798-6633",
            "fax_number": "708-798-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "60803",
            "telephone_number": "708-388-4400",
            "fax_number": "708-389-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "NEHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036111405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111405",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEHA",
            "last_name": "PATEL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrionette Park, IL

Sources for this page

Verify at the official NPI Registry.