Individual provider Active NPI

Bharatkumar I Naik, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1467527333
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036055904 Issued in IL
Practice address
300 E Pershing Rd
Chicago, IL 60653-2204
Phone
(773) 548-3131
Fax
(773) 751-5099
NPI assigned
Nov 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036055904 IL Primary
Psychiatry Physician 2084P0800X 036055904 IL

Addresses

Primary practice location

300 E Pershing Rd
Chicago, IL 60653-2204

Mailing address

807 Wildwood CT
Oak Brook, IL 60523-1522
Phone (630) 862-8599

Other identifiers 1

IdentifierTypeStateIssuer
036055904MedicaidIL

Other names 1

  • Bharat Naik Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000857 IL Practitioner - General PracticePractitioner - Psychiatry 9830213487

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vivek Pharmacy, Inc. PastSince Dec 16, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bnaik@direct-address.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467527333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WILDWOOD CT",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231522",
            "telephone_number": "630-862-8599",
            "fax_number": "773-751-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532204",
            "telephone_number": "773-548-3131",
            "fax_number": "773-751-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "BHARATKUMAR",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036055904",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036055904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055904",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHARAT",
            "last_name": "NAIK",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.