Active NPI
Smita Ketan Jobanputra, M.D.
- Obstetrics & Gynecology Physician
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-117162
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
396 Remington Blvd
Suite 250
Bolingbrook, IL 60440-4303
Phone (630) 759-2966
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Bolingbrook
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-117162 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Femcare OB-GYN LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Obhg Illinois SC | Obstetrics & Gynecology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Bolingbrook Womens Clinic S C | Obstetrics & Gynecology | Past | 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
- smita.jobanputra@3033.securemail.prognocis.com
- https://fhir4.healow.com/fhir/r4/CFHFBA
- 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.
-
- Obstetrics & Gynecology Physician
- Bolingbrook, IL
- NPI 1609315449
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Obstetrics & Gynecology Physician
- Berwyn, IL
- NPI 1700107216
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Obstetrics & Gynecology Physician
- Bolingbrook, IL
- NPI 1154500114
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.