Active NPI
Mukesh M. Doshi, M.D.
- Pediatrics Physician
- Schaumburg, IL
National Provider Identifier
1689759177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-058559
- Practice address
- 1540 Sandburg Dr
Schaumburg, IL 60173-2183 - Phone
- (224) 558-4345
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 036-058559 | IL | Primary |
Addresses
Primary practice location
1540 Sandburg Dr
Schaumburg, IL 60173-2183
Mailing address
1540 Sandburg Dr
Schaumburg, IL 60173-2183
Phone (224) 558-4345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316-04415 | Other | BLUE CROSS BLUE SHEILD | |
| 036058559 | Medicaid | IL |
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 |
|---|---|---|---|
| 036-058559 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1689759177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SANDBURG DR",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601732183",
"telephone_number": "224-558-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SANDBURG DR",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601732183",
"telephone_number": "224-558-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSHI",
"first_name": "MUKESH",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-058559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "316-04415",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058559",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.