Individual provider Active NPI

Smita Ketan Jobanputra, M.D.

  • Obstetrics & Gynecology Physician
  • Bolingbrook, IL
National Provider Identifier
1427242452
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-117162 Issued in IL
Practice address
396 Remington Blvd Ste 250
Bolingbrook, IL 60440-4303
Phone
(630) 759-2966
Fax
(630) 759-9776
NPI assigned
Sep 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-117162 IL Primary

Addresses

Primary practice location

396 Remington Blvd Ste 250
Bolingbrook, IL 60440-4303

Mailing address

396 Remington Blvd Ste 250
Bolingbrook, IL 60440-4303
Phone (630) 759-2966

Other names 1

  • Smita Vinodrai Dhabalia 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
I20081209000638 IL Practitioner - Obstetrics/Gynecology 0941361935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Femcare OBGYN LTDGroup PAC ID 0345510715, 2 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Suite 250
Bolingbrook, IL 60440-4303
Phone (630) 759-2966

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-117162ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Femcare OB-GYN LTD Obstetrics & Gynecology CurrentSince May 30, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2011 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2011 Accepting new patients
Bolingbrook Womens Clinic S C Obstetrics & Gynecology PastSince May 30, 2017 Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

396 Remington Blvd
Ste 250
Bolingbrook, IL 60440
Phone (630) 759-2966

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: smita.jobanputra@3033.securemail.prognocis.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDDAD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427242452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD STE 250",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404303",
            "telephone_number": "630-759-2966",
            "fax_number": "630-759-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD STE 250",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404303",
            "telephone_number": "630-759-2966",
            "fax_number": "630-759-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBANPUTRA",
        "first_name": "SMITA",
        "middle_name": "KETAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-117162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SMITA",
            "last_name": "DHABALIA",
            "middle_name": "VINODRAI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.