Active NPI
Pinakinprasad Dave, MD, SC
- Specialist
- Calumet City, IL
National Provider Identifier
1659603868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036055316
- Legal business name
- PINAKINPRASAD DAVE, MD, SC
- Practice address
- 1851 Sibley Blvd
Calumet City, IL 60409-2252 - Phone
- (708) 868-2300
- Fax
- (708) 868-2304
- NPI assigned
- Feb 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pinakinprasad Dave, M.D.
- Title
- President
- Phone
- (708) 895-6439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036055316 | IL | Primary |
Addresses
Primary practice location
1851 Sibley Blvd
Calumet City, IL 60409-2252
Mailing address
1940 E 170TH PL
South Holland, IL 60473-3703
Phone (708) 895-6439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036055316 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Calumet City, IL
- NPI 1417067778
-
- Specialist
- Calumet City, IL
- NPI 1518976018
-
- Pediatrics Physician
- Chicago, IL
- NPI 1164525499
-
- Family Medicine Physician
- Frankfort, IL
- NPI 1780780114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265932800000",
"number": "1659603868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 E 170TH PL",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733703",
"telephone_number": "708-895-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 SIBLEY BLVD",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604092252",
"telephone_number": "708-868-2300",
"fax_number": "708-868-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINAKINPRASAD DAVE, MD, SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A",
"authorized_official_last_name": "DAVE",
"authorized_official_first_name": "PINAKINPRASAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-895-6439",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "036055316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036055316",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.