NPIMap

Individual provider Active NPI

Bikram Singh Dhillon, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1396788006
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-081373 Issued in IL
Practice address
836 W Wellington Ave
Advocate Illinois Masonic Medical Center, Emergency Med
Chicago, IL 60657-5147
Phone
(773) 296-7054
Fax
(773) 296-7818
NPI assigned
Jun 13, 2006
Last updated
Jan 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-081373 IL Primary
Emergency Medicine Physician 207P00000X 51463-20 WI

Addresses

Primary practice location

836 W Wellington Ave
Advocate Illinois Masonic Medical Center, Emergency Med
Chicago, IL 60657-5147

Mailing address

432 Jason CT
Schaumburg, IL 60173-2075
Phone (847) 995-0344

Other identifiers 3

IdentifierTypeStateIssuer
036081373MedicaidIL
1396788006OtherWIBLUE SHIELD
35366300MedicaidWI

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-081373ILMDEmergency Medicine Physician
51463-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Specialists II, LTD Emergency Medicine Past Accepting new patients
Heart Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Boniface Orthopaedics, Inc. Past Accepting new patients
Northwest Community Hospital Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Organizations & group practices 5

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1396788006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 JASON CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732075",
            "telephone_number": "847-995-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, EMERGENCY MED",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7054",
            "fax_number": "773-296-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "BIKRAM",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-081373",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "51463-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081373",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1396788006",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35366300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.