Center for Adult Healthcare SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTER FOR ADULT HEALTHCARE SC

Practice address

303 E Army Trail Rd
Suite 301
Bloomingdale, IL 60108-2169

Phone

(630) 893-0347

Fax

(630) 893-1467

NPI assigned

Nov 20, 2008

Last updated

Jun 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mandeep S Kohli, D.ONPI 1447286497

Title

President

Phone

(630) 893-0347

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDIGBA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mandeep S Kohli, D.O

  • Internal Medicine Physician
  • Bloomingdale, IL
  • NPI 1447286497
  Medicare reassignment Care Compare group NPD Authorized official
• Sunil N Matiwala, M.D.

  • Internal Medicine Physician
  • Bloomingdale, IL
  • NPI 1174555601
  Medicare reassignment Care Compare group NPD
• Cynthia Isetts, NP

  • Adult Health Nurse Practitioner
  • Bloomingdale, IL
  • NPI 1902391105
  NPD
• Therese Marie Doyle, CNM

  • Advanced Practice Midwife
  • Bloomingdale, IL
  • NPI 1215048970
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1477708204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6365",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601086365",
            "telephone_number": "630-893-0347",
            "fax_number": "630-893-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 301",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-893-0347",
            "fax_number": "630-893-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADULT HEALTHCARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-893-0347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Jean Caruso, M.D.
• Cary J Bortnick MD LTD
• Colleen M Castro
• Deanna Lynn Casucci, LCPC, CADC
• Catalyst Counseling LLC
• Center for Integral Health, LLC
• Center for Integrative and Functional Health and Wellness LLC
• Central Dupage Health
• Jini Chacko
• Champion Chiropractic PC

• Internal Medicine Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.