Active NPI
Mukta Pant-Purohit, M.D.
- Hematology & Oncology Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036-131867
- Practice address
- 1221 N Highland Ave
Aurora, IL 60506-1404 - Phone
- (630) 859-8700
- NPI assigned
- Nov 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01064594A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 036-131867 | IL | Primary |
Addresses
Primary practice location
1221 N Highland Ave
Aurora, IL 60506-1404
Mailing address
1870 W Galena Blvd
Aurora, IL 60506-4356
Phone (630) 859-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036131867 | Medicaid | IL |
Other names 1
- Mukta Pant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 One Healing PL
Tallahassee, FL 32308-4600
Phone (850) 431-5360
2227 Vadalabene Dr
Suite 200
Maryville, IL 62062-5824
Phone (618) 288-1140
Hospital & facility affiliations
- Anderson Hospital
- Tallahassee Memorial Healthcare
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064594A | IN | MD | Internal Medicine Physician |
| 036-131867 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Specialists Services-Illinois LLC | Hematology & Oncology | Current | Accepting new patients |
| Mercy Clinic Surgical Specialists-Illinois LLC | Current | Accepting new patients |
Locations
2227 Vadalabene Dr
Ste 200
Maryville, IL 62062
Phone (618) 288-1140
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.
-
- Hematology & Oncology Physician
- Maryville, IL
- NPI 1578017596
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Surgery Physician
- Maryville, IL
- NPI 1043713886
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1457533739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 W GALENA BLVD",
"city": "AURORA",
"state": "IL",
"postal_code": "605064356",
"telephone_number": "630-859-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061404",
"telephone_number": "630-859-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANT-PUROHIT",
"first_name": "MUKTA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01064594A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036-131867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036131867",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MUKTA",
"last_name": "PANT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.