Individual provider Active NPI

Vijay Bajaj, M.D.

  • Internal Medicine Physician
  • Palos Hills, IL
National Provider Identifier
1508997982
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036058299 Issued in IL
Practice address
10401 S Roberts Rd
Suite 1,
Palos Hills, IL 60465-1991
Phone
(708) 598-4430
Fax
(708) 598-4478
NPI assigned
Mar 8, 2007
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036058299 IL Primary

Addresses

Primary practice location

10401 S Roberts Rd
Suite 1,
Palos Hills, IL 60465-1991

Mailing address

10401 S Roberts Rd
Suite 1,
Palos Hills, IL 60465-1991
Phone (708) 598-4430

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
I20080429000231 IL Practitioner - Internal Medicine 5294813440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10401 S Roberts Rd
Suite 1
Palos Hills, IL 60465-2082
Phone (708) 598-4430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036058299ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay Bajaj M.D.,S.C. Internal Medicine CurrentSince Jan 1, 1992 Accepting new patients

Locations

10401 S Roberts Rd
Palos Hills, IL 60465

10401 S Roberts Rd
Ste 1
Palos Hills, IL 60465
Phone (708) 598-4430

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1508997982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 S ROBERTS RD",
            "address_2": "SUITE 1,",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651991",
            "telephone_number": "708-598-4430",
            "fax_number": "708-598-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 S ROBERTS RD",
            "address_2": "SUITE 1,",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651991",
            "telephone_number": "708-598-4430",
            "fax_number": "708-598-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036058299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

Verify at the official NPI Registry.