Active NPI
Manan Dhingra, MD
- Rheumatology Physician
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036172994
- Practice address
- 375 N Wall St Ste P320
Kankakee, IL 60901-3490 - Phone
- (815) 928-5064
- Fax
- (815) 928-5065
- NPI assigned
- Aug 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TEP8082 | NE | |
| Rheumatology Physician | 207RR0500X | 036172994 | IL | Primary |
Addresses
Primary practice location
375 N Wall St Ste P320
Kankakee, IL 60901-3490
Mailing address
375 N Wall St Ste P320
Kankakee, IL 60901-3490
Phone (815) 928-5064
Other practice location 1
38 Olympus Dr
Tinley Park, IL 60477-4829
Phone (630) 408-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210
375 N Wall St
P520
Kankakee, IL 60901-3493
Phone (815) 933-0194
5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEP8082 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Current | Accepting new patients |
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients |
Locations
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
375 N Wall St
Ste P320
Kankakee, IL 60901
Phone (815) 928-5064
375 N Wall St
Ste 320
Kankakee, IL 60901
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
Organizations & group practices 3
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.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1679099626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 N WALL ST STE P320",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013490",
"telephone_number": "815-928-5064",
"fax_number": "815-928-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N WALL ST STE P320",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013490",
"telephone_number": "815-928-5064",
"fax_number": "815-928-5065"
}
],
"practiceLocations": [
{
"address_1": "38 Olympus Dr",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604774829",
"country_code": "US",
"telephone_number": "630-408-1350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHINGRA",
"first_name": "MANAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "TEP8082",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036172994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.