Active NPI
Bela Pandit, PC
- Podiatrist
- Evergreen Park, IL
National Provider Identifier
1649463282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016005203
- Practice address
- 3830 W 95TH St Ste 104
Evergreen Park, IL 60805-2004 - Phone
- (708) 423-3668
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005203 | IL | Primary |
Addresses
Primary practice location
3830 W 95TH St Ste 104
Evergreen Park, IL 60805-2004
Mailing address
3830 W 95TH St
Ste 104
Evergreen Park, IL 60805-2004
Phone (312) 523-4584
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635520 | Other | BCBS | |
| 5617590001 | Other | IL | PTAN |
| 016005203 | Medicaid | IL | |
| P00338399 | Other | IL | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3830 W 95TH St
Suite 100
Evergreen Park, IL 60805-2004
Phone (708) 423-3668
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 17 |
| Removal of nail tissue | 127 |
| Removal or shaving of skin growth | 88 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016005203 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Bela Pandit PC | Podiatrist | Current | Accepting new patients |
| Dr. Bela Pandit, PC | Current | Accepting new patients |
Locations
3830 W 95th St
Ste 104
Evergreen Pk, IL 60805
Phone (708) 422-2815
490 W Lake St
Unit 5
Roselle, IL 60172
Phone (630) 924-1450
Interoperability endpoints
- bela.pandit.2@6722.direct.athenahealth.com
- bela.pandit.1@6722.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Podiatrist
- Evergreen Park, IL
- NPI 1447218359
-
- Non-Pharmacy Dispensing Site
- Evergreen Park, IL
- NPI 1639424823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1649463282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 W 95TH ST",
"address_2": "STE 104",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052004",
"telephone_number": "312-523-4584",
"fax_number": "720-834-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 W 95TH ST STE 104",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052004",
"telephone_number": "708-423-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDIT",
"first_name": "BELA",
"credential": "PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01635520",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "5617590001",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016005203",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00338399",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.