Nitin P Bhosale, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036118155 Issued in IL

Practice address

1902 Fox Dr Ste 5
Champaign, IL 61820-7377

Phone

(815) 683-6109

Fax

(978) 307-5504

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pavilion Foundation

  • Psychiatric Hospital
  • Champaign, IL
  • NPI 1518930619
  Medicare reassignment NPD
• The Oval Circle LLC

  • Adult Mental Health Clinic/Center
  • Savoy, IL
  • NPI 1588173454
  NPD (past) Authorized official
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1487732103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 ENGLISH OAK DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223351",
            "telephone_number": "217-766-5170",
            "fax_number": "978-307-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FOX DR STE 5",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207377",
            "telephone_number": "815-683-6109",
            "fax_number": "978-307-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOSALE",
        "first_name": "NITIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "IL",
            "license": "036118155",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036118155",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "IL",
            "license": "036118155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Play Performance & Rehab PLLC
• Better Tomorrows- C a Winkler Counseling Services
• Lena Beuoy
• BG General & Custom Services,Inc.
• Maneesha Bhatt, MD
• Julie D. Bickers, R.PH.
• Andy R Bierbaum
• Linda Margaret Bigley
• Brandon Joseph Billman, PHARMD
• Lisa M. Billman, M.S.

• Psychiatry Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.