Individual provider Active NPI

Bindu Pavithran, MD

  • Nephrology Physician
  • Rockford, IL
National Provider Identifier
1548210677
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD491041C Issued in PA
Practice address
612 Roxbury Rd
Rockford, IL 61107-5089
Phone
(815) 227-8300
Fax
(815) 227-8301
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036110997 IL
Nephrology Physician 207RN0300X MD491041C PA Primary

Addresses

Primary practice location

612 Roxbury Rd
Rockford, IL 61107-5089

Mailing address

612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300

Other practice location 1

575 Coal Valley Rd Ste 204
Clairton, PA 15025-3724
Phone (412) 466-2220

Other identifiers 3

IdentifierTypeStateIssuer
922820OtherILGROUP PTAN
036110997MedicaidIL
P00847277OtherILRAILROAD MEDICARE PTAN

Other names 1

  • Ms. Bindu Vijayachandran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000800 IL Practitioner - NephrologyPractitioner - Internal Medicine 2163477597 Reassigns benefits to 1 organization
I20251016005124 PA Practitioner - NephrologyPractitioner - Internal Medicine 2163477597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Kidney Care LLCGroup PAC ID 1658664578, 15 clinicians
Rna of Rockford, PLLCGroup PAC ID 3870662398, 18 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 204
Clairton, PA 15025-3724
Phone (412) 466-2220

612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.52 of 100Reported as individual
Quality
87.16
Promoting interoperability
100
Improvement activities
40
Cost
75.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110997ILMDNephrology Physician
MD491041CPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Kidney Care LLC Nephrology CurrentSince Sep 2, 2025 Accepting new patients
Rna of Rockford, PLLC Nephrology CurrentSince Aug 8, 2011 Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients
Elmhurst Memorial Healthcare PastSince May 25, 2021 Accepting new patients

Locations

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

612 Roxbury Rd
Rockford, IL 61107
Phone (815) 227-8300

1302 E State St
Rockford, IL 61104
Phone (815) 968-5791

2600 Locust St
Ste D
Sterling, IL 61081
Phone (815) 626-3173

2127 Midlands Ct
Unit 102
Sycamore, IL 60178
Phone (815) 758-3057

2200 Gateway Dr
Sycamore, IL 60178
Phone (815) 758-0205

2540 Hauser Ross Dr
Sycamore, IL 60178
Phone (779) 696-9529

17 Arentzen Blvd
Ste 204
Charleroi, PA 15022
Phone (724) 489-0220

575 Coal Valley Rd
Ste 204
Clairton, PA 15025
Phone (412) 466-2220

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • Direct secure messaging: bpavithran80454@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1548210677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Coal Valley Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Clairton",
            "state": "PA",
            "postal_code": "150253724",
            "country_code": "US",
            "telephone_number": "412-466-2220",
            "fax_number": "412-466-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVITHRAN",
        "first_name": "BINDU",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036110997",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD491041C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "922820",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110997",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00847277",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINDU",
            "last_name": "VIJAYACHANDRAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.