Active NPI
Mayank Y Doshi, MD
- Endocrinology, Diabetes & Metabolism Physician
- Orland Park, IL
National Provider Identifier
1578545331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036052121
- Practice address
- 14544 John Humphrey Dr
Orland Park, IL 60462-2640 - Phone
- (708) 460-7990
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036052121 | IL | Primary |
Addresses
Primary practice location
14544 John Humphrey Dr
Orland Park, IL 60462-2640
Mailing address
PO Box 379
Orland Park, IL 60462-0379
Phone (708) 460-9836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052121 | Medicaid | IL | |
| 110002038 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036052121 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayank Y. Doshi M.D.S.C. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
14544 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 460-7990
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 and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Orland Park, IL
- NPI 1639150972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1578545331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 379",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604620379",
"telephone_number": "708-460-9836",
"fax_number": "708-460-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14544 JOHN HUMPHREY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622640",
"telephone_number": "708-460-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSHI",
"first_name": "MAYANK",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036052121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036052121",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110002038",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.