Active NPI
Chicago Medical Associates, Inc
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1760965404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHICAGO MEDICAL ASSOCIATES, INC
- Practice address
- 2222 W Division St Ste 230
Chicago, IL 60622-2989 - Phone
- (630) 470-5760
- NPI assigned
- Sep 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ajay Bhatia, MD
- Title
- President
- Phone
- (630) 470-5760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2222 W Division St Ste 230
Chicago, IL 60622-2989
Mailing address
2222 W Division St Ste 230
Chicago, IL 60622-2989
Phone (630) 470-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181010002411 | IL | Part B Supplier - Clinic/Group Practice | 4880946334 |
Receives reassigned benefits from 5 practitioners Practice locations: Chicago, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2041341 | Northwest Medical Associates of Chicago | Certificate of waiver | Jun 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536537600000",
"number": "1760965404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST STE 230",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222989",
"telephone_number": "630-470-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST STE 230",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222989",
"telephone_number": "630-470-5760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO MEDICAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A",
"authorized_official_last_name": "BHATIA",
"authorized_official_first_name": "AJAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-470-5760",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Chicago Medical & Pain Assoc LTD
- Chicago Medical & Pain Associates LTD
- Chicago Medical Alliance LLC
- Chicago Medical and Surgical Center
- Chicago Medical and Surgical Specialists, S. C.
- Chicago Medical Center Limited
- Chicago Medical Center,SC
- Chicago Medical Mobility Heathcare Services
- Chicago Medical Mobility Transportation Services
- Chicago Medical Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.