Individual provider Active NPI

Bela Pandit, PC

  • Podiatrist
  • Evergreen Park, IL
National Provider Identifier
1649463282
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005203 Issued in IL
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

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01635520OtherBCBS
5617590001OtherILPTAN
016005203MedicaidIL
P00338399OtherILRAIL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000355 IL Practitioner - Podiatry 3577580919 Reassigns benefits to 1 organization

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
Dr Bela Pandit PCGroup PAC ID 4587681929, 2 clinicians

Practice addresses (Care Compare)

3830 W 95TH St
Suite 100
Evergreen Park, IL 60805-2004
Phone (708) 423-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions17
Removal of nail tissue127
Removal or shaving of skin growth88
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005203ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bela Pandit PC Podiatrist CurrentSince Sep 6, 2005 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

  • Direct secure messaging: bela.pandit.2@6722.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.