Suketu Jhaveri, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036065498 Issued in IL

Practice address

800 East Carpenter Street
Room 2K64
Springfield, IL 62769-0001

Phone

(217) 525-5643

Fax

(217) 544-2521

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Sangamon Associated Anesthesiologists, S.C.

  • Certified Registered Nurse Anesthetist
  • Springfield, IL
  • NPI 1699712661
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1780672980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST CARPENTER STREET",
            "address_2": "ROOM 2K64",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-525-5643",
            "fax_number": "217-544-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST CARPENTER STREET",
            "address_2": "ROOM 2K64",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-525-5643",
            "fax_number": "217-544-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAVERI",
        "first_name": "SUKETU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036065498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065498",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Jersild, APRN, CNP
• Emily M. Jesgarz, PA-C
• Jon Niles Jessen, M.D.
• Saurabh Jha, M.D.
• Bharati S. Jhaveri, M.D.
• Lixia Jia, PHARMACIST
• JMJ Dental, Inc
• John M. Colbert, DMD, LLC
• Ashish John, MD
• Teena John, MD

• Anesthesiology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.