NPIMap

Organization Active NPI

Chicago Vascular Clinic LTD

  • Interventional Cardiology Physician
  • Schaumburg, IL
National Provider Identifier
1457788424
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036086709 Issued in IL
Legal business name
CHICAGO VASCULAR CLINIC LTD
Practice address
812 E Woodfield Rd
Schaumburg, IL 60173-4714
Phone
(847) 605-9500
Fax
(847) 637-0737
NPI assigned
Oct 4, 2013
Organization subpart
Yes
Parent organization
CHICAGO CARDIOLOGY INSTITUTE, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Parag M Doshi, M.D.NPI 1578544334
Title
President
Phone
(847) 605-9500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 036086709 IL
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X 036086709 IL Primary

Addresses

Primary practice location

812 E Woodfield Rd
Schaumburg, IL 60173-4714

Mailing address

812 E Woodfield Rd
Schaumburg, IL 60173-4714
Phone (847) 605-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131224000145 IL Part B Supplier - Clinic/Group Practice 6204063027 Receives reassigned benefits from 5 practitioners
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory
Part of
Chicago Cardiology Institute SC

Locations

804 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

812 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

812 E Woodfield Rd
Ste 100
Schaumburg, IL 60173

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1457788424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E WOODFIELD RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734714",
            "telephone_number": "847-605-9500",
            "fax_number": "847-637-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E WOODFIELD RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734714",
            "telephone_number": "847-605-9500",
            "fax_number": "847-637-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO VASCULAR CLINIC LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO CARDIOLOGY INSTITUTE, S.C.",
        "enumeration_date": "2013-10-04",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "PARAG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-605-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036086709",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036086709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.