Active NPI
Kiran Raj Pandey, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1659682482
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5156890
- Practice address
- 5600 N Sheridan Rd
Apt 19E
Chicago, IL 60660-4877 - Phone
- (312) 731-0921
- NPI assigned
- Jun 26, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5156890 | IL | Primary |
Addresses
Primary practice location
5600 N Sheridan Rd
Apt 19E
Chicago, IL 60660-4877
Mailing address
5600 N Sheridan Rd
Apt 19E
Chicago, IL 60660-4877
Phone (312) 731-0921
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5156890 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277510400000",
"number": "1659682482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 N SHERIDAN RD",
"address_2": "APT 19E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606604877",
"telephone_number": "312-731-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 N SHERIDAN RD",
"address_2": "APT 19E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606604877",
"telephone_number": "312-731-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDEY",
"first_name": "KIRAN",
"middle_name": "RAJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-26",
"last_updated": "2010-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "5156890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.