Active NPI
Ashok B Phadke, M.D.
- Pediatrics Physician
- Lindenhurst, IL
National Provider Identifier
1457348187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36-093977
- Practice address
- 2031 E Grand Ave
Suite 200
Lindenhurst, IL 60046-9041 - Phone
- (847) 356-5575
- Fax
- (847) 356-1792
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36-093977 | IL | Primary |
Addresses
Primary practice location
2031 E Grand Ave
Suite 200
Lindenhurst, IL 60046-9041
Mailing address
2031 E Grand Ave
Suite 200
Lindenhurst, IL 60046-9041
Phone (847) 356-5575
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-093977 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg Illinois LTD | Past | Accepting new patients | |
| Rashmikant S.Patel M.D.S.C. | Past | Accepting new patients | |
| Amg Illinois LTD | Past | Accepting new patients | |
| Amg Illinois LTD | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIBJBA/Endpoint/AIBJBA
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Lindenhurst, IL
- NPI 1114161155
-
- Durable Medical Equipment & Medical Supplies
- Gurnee, IL
- NPI 1871873778
-
- Internal Medicine Physician
- Gurnee, IL
- NPI 1972741759
-
- Primary Care Clinic/Center
- Gurnee, IL
- NPI 1316111388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1457348187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 E GRAND AVE",
"address_2": "SUITE 200",
"city": "LINDENHURST",
"state": "IL",
"postal_code": "600469041",
"telephone_number": "847-356-5575",
"fax_number": "847-356-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 E GRAND AVE",
"address_2": "SUITE 200",
"city": "LINDENHURST",
"state": "IL",
"postal_code": "600469041",
"telephone_number": "847-356-5575",
"fax_number": "847-356-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHADKE",
"first_name": "ASHOK",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "36-093977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindenhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.