Purvi Patel Bhandari, MD
Individual provider Active NPI Pediatrics Physician · Springfield, IL
NPI 1649436809 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1649436809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036133458 (IL)
- Practice address
- 2532 Farragut Dr
Springfield, IL 62704-1433 - Phone
- (217) 528-7541
- Fax
- (217) 726-1230
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Owned or controlled facilities with NPI records 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2016 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2016 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2016 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2016 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131210001426 | IL | Practitioner - Pediatric Medicine | 5496913212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036133458 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current |
Accepting new patients |
Locations
1025 S 6th St
Springfield, IL 62703
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
2532 Farragut Dr
Springfield, IL 62704
Phone (217) 787-9424
3501 Old Jacksonville Rd
Springfield, IL 62711
Phone (217) 960-8193
Interoperability endpoints
- purvi.bhandari.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Obesity Medicine Physician | 2080B0002X | 036133458 | IL | |
| Pediatrics Physician | 208000000X | 036133458 | IL | Yes |
Addresses
Primary practice location
2532 Farragut Dr
Springfield, IL 62704-1433
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other names
- Dr. Purvi Praful Patel
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | purvibhandari@sfc.allscriptsdirect.net |
Other providers in Springfield, IL
- BF Home Care, Inc.
- Anjali Devendra Bhagat
- Prasanta Bhamidipati
- Amit Bhandari
- Priyanka Bhandari
- Ramanath Bhandari
- Sahebjit Singh Bhasin
- Shyam K Bhat
- Mukul Bhattarai
- Noor Bhatti
All providers in Springfield, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.