NPIMap

Organization Active NPI

Anil K Khemani MD SC

  • Cardiovascular Disease Physician
  • Woodstock, IL
National Provider Identifier
1609891712
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036091226 Issued in IL
Legal business name
ANIL K KHEMANI MD SC
Practice address
3703 Doty Rd
Suite 4
Woodstock, IL 60098-7517
Phone
(815) 206-0025
Fax
(815) 206-0021
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Anil K Khemani, MD
Title
Director
Phone
(815) 206-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 036091226 IL Primary

Addresses

Primary practice location

3703 Doty Rd
Suite 4
Woodstock, IL 60098-7517

Mailing address

2205 Point Blvd
Suite 220
Elgin, IL 60123-7840
Phone (224) 238-4160

Other identifiers 1

IdentifierTypeStateIssuer
05620217OtherILBCBS

National Provider Directory

National Provider Directory

Locations

2205 Point Blvd
Elgin, IL 60123

3703 Doty Rd
Unit 4
Woodstock, IL 60098
Phone (815) 206-0025

Practitioners & affiliated clinicians

Practitioners 7

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1609891712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 POINT BLVD",
            "address_2": "SUITE 220",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237840",
            "telephone_number": "224-238-4160",
            "fax_number": "847-783-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 DOTY RD",
            "address_2": "SUITE 4",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987517",
            "telephone_number": "815-206-0025",
            "fax_number": "815-206-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL K KHEMANI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "KHEMANI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-206-0025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036091226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05620217",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.