Organization Active NPI

Tejasi Gholap MD SC

  • Pediatrics Physician
  • Elgin, IL
National Provider Identifier
1568878221
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036125306 Issued in IL
Legal business name
TEJASI GHOLAP MD SC
Practice address
901 Center St
Suite 209
Elgin, IL 60120-2104
Phone
(847) 429-1157
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Tejasi Gholap, MD
Title
Owner
Phone
(414) 736-7583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036125306 IL Primary

Addresses

Primary practice location

901 Center St
Suite 209
Elgin, IL 60120-2104

Mailing address

2350 County Farm LN
Schaumburg, IL 60194-4807
Phone (414) 736-7583

National Provider Directory

National Provider Directory

Locations

901 Center St
Ste 209
Elgin, IL 60120
Phone (847) 289-9146

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1568878221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 COUNTY FARM LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944807",
            "telephone_number": "414-736-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CENTER ST",
            "address_2": "SUITE 209",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202104",
            "telephone_number": "847-429-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJASI GHOLAP MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "GHOLAP",
        "authorized_official_first_name": "TEJASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-736-7583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036125306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.