Active NPI
Mahesh N Parikh, M.D.
- Neurology Physician
- Crystal Lake, IL
National Provider Identifier
1659309151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36068123
- Practice address
- 615 Dakota St
Crystal Lake, IL 60012-3732 - Phone
- (815) 455-1945
- Fax
- (815) 455-1635
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 36068123 | IL | Primary |
Addresses
Primary practice location
615 Dakota St
Crystal Lake, IL 60012-3732
Mailing address
615 Dakota St
Crystal Lake, IL 60012-3732
Phone (815) 455-1945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5621190 | Other | IL | BCBS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659309151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 DAKOTA ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600123732",
"telephone_number": "815-455-1945",
"fax_number": "815-455-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 DAKOTA ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600123732",
"telephone_number": "815-455-1945",
"fax_number": "815-455-1635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIKH",
"first_name": "MAHESH",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "36068123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5621190",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.