Individual provider Active NPI

Manvinder Singh, MD

  • Internal Medicine Physician
  • Westmont, IL
National Provider Identifier
1760597017
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036061574 Issued in IL
Practice address
6319 S Fairview
S 101
Westmont, IL 60559
Phone
(630) 852-5017
Fax
(630) 852-1474
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036061574 IL Primary

Addresses

Primary practice location

6319 S Fairview
S 101
Westmont, IL 60559

Mailing address

6319 S Fairview
S 101
Westmont, IL 60559
Phone (630) 852-5017

Other identifiers 1

IdentifierTypeStateIssuer
110007365BOtherILRR MEDICARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000601 IL Practitioner - Internal Medicine 3779667142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036061574ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jun 15, 2014 Accepting new patients
Dupage Internists Associates LTD Internal Medicine CurrentSince Feb 22, 2008 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 15, 2014 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

6319 Fairview Ave
Ste 101
Westmont, IL 60559
Phone (630) 310-1424

6319 Fairview Ave
Westmont, IL 60559
Phone (630) 852-5017

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1760597017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 S FAIRVIEW",
            "address_2": "S 101",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-852-5017",
            "fax_number": "630-852-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 S FAIRVIEW",
            "address_2": "S 101",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-852-5017",
            "fax_number": "630-852-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "MANVINDER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036061574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "110007365B",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.