Active NPI
Khem Singh
- Surgical Assistant
- Aurora, IL
National Provider Identifier
1386730513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.000129
- Practice address
- 2000 Ogden Ave
Aurora, IL 60504-7222 - Phone
- (630) 978-4860
- NPI assigned
- Oct 5, 2006
- Last updated
- Jan 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.000129 | IL | Primary |
Addresses
Primary practice location
2000 Ogden Ave
Aurora, IL 60504-7222
Mailing address
32 Pickford Rd
Montgomery, IL 60538-2612
Phone (708) 534-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000129 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1386730513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 PICKFORD RD",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605382612",
"telephone_number": "708-534-2168",
"fax_number": "708-328-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OGDEN AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605047222",
"telephone_number": "630-978-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "KHEM",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.