Individual provider Active NPI

Bhupinder Khaper, M.D.

  • Family Medicine Physician
  • Watseka, IL
National Provider Identifier
1700228947
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036139207 Issued in IL
Practice address
1490 E Walnut St
Suite a
Watseka, IL 60970-1806
Phone
(815) 432-7693
Fax
(815) 936-7228
NPI assigned
Jul 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036139207 IL Primary

Addresses

Primary practice location

1490 E Walnut St
Suite a
Watseka, IL 60970-1806

Mailing address

1490 E Walnut St
Suite a
Watseka, IL 60970
Phone (815) 432-7693

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkhaper13923@Direct.riversidehealthcare.net Direct

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pkhaper13923@direct.riversidehealthcare.net

Organizations & group practices 1

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1700228947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E WALNUT ST",
            "address_2": "SUITE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "60970",
            "telephone_number": "815-432-7693",
            "fax_number": "815-936-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E WALNUT ST",
            "address_2": "SUITE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701806",
            "telephone_number": "815-432-7693",
            "fax_number": "815-936-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAPER",
        "first_name": "BHUPINDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkhaper13923@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1490 E Walnut St",
            "address_2": "Suite A",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.