Individual provider Active NPI

Rajesh Chattergoon, APN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1639337942
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.010937 Issued in IL
Practice address
311 N Aberdeen St
Suite 100B
Chicago, IL 60607-1249
Phone
(312) 733-0909
NPI assigned
May 23, 2008
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.010937 IL Primary
Gerontology Nurse Practitioner 363LG0600X 209.010937 IL
Primary Care Nurse Practitioner 363LP2300X 209.010937 IL
Registered Nurse 163W00000X 591215-1 NY
Registered Nurse 163W00000X 041.409457 IL

Addresses

Primary practice location

311 N Aberdeen St
Suite 100B
Chicago, IL 60607-1249

Mailing address

311 N Aberdeen St
Suite 100B
Chicago, IL 60607-1249

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

State licenses

LicenseStateTypeSpecialty
041.409457ILMDRegistered Nurse
591215-1NYMDRegistered Nurse
209.010937ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ernesto J. Villegas MD, SC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12691/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1639337942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N ABERDEEN ST",
            "address_2": "SUITE 100B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N ABERDEEN ST",
            "address_2": "SUITE 100B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071249",
            "telephone_number": "312-733-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERGOON",
        "first_name": "RAJESH",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.010937",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.010937",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.010937",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "591215-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.409457",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 28, 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.