Munisha Mehra Bhatia, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036102827 Issued in IL

Practice address

1500 W Kennedy Rd
Lake Forest, IL 60045-1099

Phone

(312) 933-6979

NPI assigned

Dec 6, 2005

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Munisha Mehra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1497739049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7010",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600157010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W KENNEDY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451099",
            "telephone_number": "312-933-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Belvidere Rd",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600856165",
            "country_code": "US",
            "telephone_number": "847-377-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "MUNISHA",
        "middle_name": "MEHRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.102827",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036102827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102827",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUNISHA",
            "last_name": "MEHRA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Superman David Berrow, MS, ATC, CES
• Stephanie Berry
• Andrea Erickson Best, DO
• Kunjan Satishkumar Bhakta, M.D.
• Aneri Dalia Bhansali, DPT
• Seema Widhani Bhatia, M.D.
• Shreenath Bishu, MD
• Brandon Stuart Blackwood, FNP-C
• Mary Ann Blendonohy, M.A./C.C.C.
• Mark Blitstein, M.D.

• Pediatrics Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.