Ajita V. Kasbekar, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036051158 Issued in IL

Practice address

2800 W 95TH St
Evergreen Park, IL 60805-2746

Phone

(708) 422-6200

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1669413621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450631",
            "telephone_number": "847-615-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052746",
            "telephone_number": "708-422-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASBEKAR",
        "first_name": "AJITA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036051158",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036051158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051158",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph, M.D.
• Jung I Jun, MD SC
• Jung Il Jun MD SC
• Mohammad Tarek Kabbany, M.D.
• Margaret Rose Kane
• Constance Patricia Kass
• Ibrahim Kassas, M.D.
• Kathy Abbott PSYD PC
• Bruce Terry Katz, O.D.
• Brenna Keaty, DPT

• Anesthesiology Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.