Active NPI
Anjali Kher, M.D. S.C.
- Pediatrics Physician
- Plainfield, IL
National Provider Identifier
1669434353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036104529
- Practice address
- 13415 S Route 59
Plainfield, IL 60585-5676 - Phone
- (815) 609-3627
- Fax
- (815) 609-1328
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036104529 | IL | Primary |
Addresses
Primary practice location
13415 S Route 59
Plainfield, IL 60585-5676
Mailing address
PO Box 9200
Naperville, IL 60567-0200
Phone (815) 609-3627
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09932022 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036104529 | Medicaid | IL | |
| 769437 | Other | IL | AETNA |
Other names 1
- Dr. Anjali A Pethkar
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036104529 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjay Pethkar, M.D., S. C. | Current | Accepting new patients | |
| Anjali Kher, M.D., S.C. | Pediatrics | Past | Accepting new patients |
Locations
2776 Forgue Dr
Ste 100
Naperville, IL 60564
Phone (331) 229-3210
13415 S Route 59
Plainfield, IL 60585
Phone (815) 274-6688
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.
-
- Internal Medicine Physician
- Plainfield, IL
- NPI 1588873293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1669434353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9200",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605670200",
"telephone_number": "815-609-3627",
"fax_number": "815-609-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13415 S ROUTE 59",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855676",
"telephone_number": "815-609-3627",
"fax_number": "815-609-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHER",
"first_name": "ANJALI",
"name_prefix": "Dr.",
"credential": "M.D. S.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036104529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09932022",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104529",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "769437",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANJALI",
"last_name": "PETHKAR",
"middle_name": "A",
"prefix": "DR.",
"credential": "M.D. S.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.