Organization Active NPI

Bethesda Medicare Services LTD

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1487990495
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BETHESDA MEDICARE SERVICES LTD
Practice address
990 Grand Canyon Pkwy
Suite 418
Hoffman Estates, IL 60169-1737
Phone
(331) 472-8802
Fax
(331) 472-8803
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Meena Krishna, MD
Title
Owner
Phone
(331) 472-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

990 Grand Canyon Pkwy
Suite 418
Hoffman Estates, IL 60169-1737

Mailing address

990 Grand Canyon Pkwy
Suite 418
Hoffman Estates, IL 60169-1739
Phone (331) 472-8802

National Provider Directory

National Provider Directory

Locations

990 Grand Canyon Pkwy
Ste 418
Hoffman Estates, IL 60169
Phone (331) 472-8802

2425 W 22nd St
Ste 205
Oak Brook, IL 60523
Phone (630) 974-1400

236 E Northwest Hwy
Ste B
Palatine, IL 60067
Phone (224) 544-5777

939 N Plum Grove Rd
Ste H
Schaumburg, IL 60173
Phone (331) 472-8802

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1487990495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PKWY",
            "address_2": "SUITE 418",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691739",
            "telephone_number": "331-472-8802",
            "fax_number": "331-472-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PKWY",
            "address_2": "SUITE 418",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691737",
            "telephone_number": "331-472-8802",
            "fax_number": "331-472-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA MEDICARE SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "MEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-472-8802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.