Individual provider Active NPI

Nimeet R Brahmbhatt, M.D.

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1457678302
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036124838 Issued in IL
Practice address
2315 E 93Rd St Ste 337
Chicago, IL 60617-3948
Phone
(708) 952-3040
NPI assigned
Apr 30, 2010
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036124838 IL Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 337
Chicago, IL 60617-3948

Mailing address

210 S Desplaines St
Chicago, IL 60661-5500
Phone (312) 654-2721

Other identifiers 2

IdentifierTypeStateIssuer
F400293237OtherILMEDICARE
036124838MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nbrahmbhatt279352@direct.myadvocateaurora.org Direct
Direct Messaging Address nbrahmbhatt64318@Direct.FranciscanAlliance.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100715000221 IL Practitioner - NephrologyPractitioner - Internal Medicine 6002948767 Reassigns benefits to 1 organization
I20110209000680 IN Practitioner - NephrologyPractitioner - Internal Medicine 6002948767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Toledo College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Nephrology SCGroup PAC ID 9133023963, 52 clinicians

Practice addresses (Care Compare)

2320 E 93Rd St
Chicago, IL 60617-3983
Phone (773) 967-2000

5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300

825 W 35TH St
Chicago, IL 60609-1511
Phone (312) 654-2744

8710 S Holland Ave
FMC Chatham Dialysis
Chicago, IL 60620-1332
Phone (773) 723-2536

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124838ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, S.C. Nephrology CurrentSince Jul 12, 2010 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Vascular Access Centers of Illinois at Morgan Park, LLC PastSince Jun 2, 2024 Accepting new patients

Locations

10801 S Western Ave
Ste 201
Chicago, IL 60643
Phone (773) 770-4824

210 S Desplaines St
Fl 1
Chicago, IL 60661

2315 E 93rd St
Ste 337
Chicago, IL 60617
Phone (708) 423-8706

4026 Paysphere Cir
Chicago, IL 60674

825 W 35th St
Chicago, IL 60609
Phone (773) 890-4330

9730 S Western Ave
Ste 326
Evergreen Pk, IL 60805
Phone (708) 346-7340

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

314 Ridge Rd
Munster, IN 46321
Phone (219) 789-1169

Interoperability endpoints

  • Direct secure messaging: nbrahmbhatt18463@direct.acumenmd.com
  • Direct secure messaging: nbrahmbhatt64318@direct.franciscanalliance.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1457678302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 337",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173948",
            "telephone_number": "708-952-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "NIMEET",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036124838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400293237",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036124838",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrahmbhatt279352@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St Ste 202",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbrahmbhatt64318@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St Ste 202",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3700 W 203rd St Ste 202",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.