Individual provider Active NPI

Anjali Kher, M.D. S.C.

  • Pediatrics Physician
  • Plainfield, IL
National Provider Identifier
1669434353
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104529 Issued in IL
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

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09932022OtherILBLUE CROSS BLUE SHIELD
036104529MedicaidIL
769437OtherILAETNA

Other names 1

  • Dr. Anjali A Pethkar Other name

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

LicenseStateTypeSpecialty
036104529ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.