Organization Active NPI

B.S. Iyer M.D., S.C.

  • Specialist
  • Chicago, IL
National Provider Identifier
1609059708
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036046165 Issued in IL
Legal business name
B.S. IYER M.D., S.C.
Practice address
1945 W Wilson Ave
Suite #2115
Chicago, IL 60640-5255
Phone
(773) 878-5225
Fax
(773) 878-5661
NPI assigned
Dec 11, 2007
Organization subpart
Yes
Parent organization
BS IYER MD SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Balasubramaniam S. Iyer, M.D.NPI 1497890750
Title
Owner
Phone
(773) 878-5225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036046165 IL Primary

Addresses

Primary practice location

1945 W Wilson Ave
Suite #2115
Chicago, IL 60640-5255

Mailing address

1945 W Wilson Ave
Suite #2115
Chicago, IL 60640-5255
Phone (773) 878-5225

Other identifiers 3

IdentifierTypeStateIssuer
K18231OtherILMEDICARE
36046165MedicaidIL
211814OtherUPIN

National Provider Directory

National Provider Directory
Part of
BS Iyer MD SC

Locations

1945 W Wilson Ave
Ste 2115
Chicago, IL 60640
Phone (773) 878-5225

Practitioners & affiliated clinicians

Practitioners 1

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1609059708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE",
            "address_2": "SUITE #2115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405255",
            "telephone_number": "773-878-5225",
            "fax_number": "773-878-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE",
            "address_2": "SUITE #2115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405255",
            "telephone_number": "773-878-5225",
            "fax_number": "773-878-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.S. IYER M.D., S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BS IYER MD SC",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "BALASUBRAMANIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-878-5225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036046165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K18231",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36046165",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "211814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.