Organization Active NPI

Dr Bela Pandit PC

  • Podiatrist
  • Evergreen Park, IL
National Provider Identifier
1447218359
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005203 Issued in IL
Legal business name
DR BELA PANDIT PC
Practice address
3830 W 95TH St
Evergreen Park, IL 60805-2004
Phone
(708) 423-3668
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Bela Pandit, DPMNPI 1649463282
Title
Owner
Phone
(312) 523-4584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016005203 IL Primary

Addresses

Primary practice location

3830 W 95TH St
Evergreen Park, IL 60805-2004

Mailing address

1325 S Prairie Ave
Chicago, IL 60605-3063

Other identifiers 3

IdentifierTypeStateIssuer
016005203MedicaidIL
DF1014OtherILRAILROAD MEDICARE
01635520OtherILBCBS

Other names 1

  • PANDIT FOOT AND ANKLE CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051025001084 IL Part B Supplier - Clinic/Group Practice 4587681929 Receives reassigned benefits from 2 practitioners
Practice locations: Evergreen Park, IL
O20100930035315 IL DME Supplier - Physician - Podiatry 4587681929 Practice locations: Evergreen Park, IL

National Provider Directory

National Provider Directory
Tax ID family
Dr Bela Pandit PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

490 W Lake St
Unit 5
Roselle, IL 60172
Phone (630) 924-1450

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1447218359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S PRAIRIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "708-423-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BELA PANDIT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "PANDIT",
        "authorized_official_first_name": "BELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-523-4584",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005203",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF1014",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANDIT FOOT AND ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PANDIT FOOT AND ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.