Cardiorenal Therapeutics Telemed

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CARDIORENAL THERAPEUTICS TELEMED

Practice address

2374 N River Rd
Oregon, IL 61061-9446

Phone

(815) 677-2161

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Rehan Shah, MD

Title

Coo

Phone

(516) 721-7069

Specialties & licenses 1

Addresses

Other names 1

• CRT TeleMed Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1750009197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610516",
            "telephone_number": "815-677-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 N RIVER RD",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610619446",
            "telephone_number": "815-677-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIORENAL THERAPEUTICS TELEMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "516-721-7069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRT TeleMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Bieche
• Amanda Bordner, LCSW
• Kelsey Boyd
• Chad E. Brinkmann, P.T.
• Kacey Frances Cain, RN
• Jeffrey Randall Cates, D.C., M.S.
• Couch to Couch Counseling
• County of Ogle
• John Brian Crisham, D.M.D.
• Krane T Cupples, D.C.

• Internal Medicine Physician in Oregon, IL
• Providers in Oregon, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.