Organization Active NPI

Sutpal Singh D.P.M. a Professional Corporation

  • Podiatrist
  • Hoffman Estates, IL
National Provider Identifier
1780775676
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3997 Issued in CA
Legal business name
SUTPAL SINGH D.P.M. A PROFESSIONAL CORPORATION
Practice address
1585 Barrington Rd
Suite 603
Hoffman Estates, IL 60169-1090
Phone
(847) 310-1600
Fax
(847) 310-1606
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Dr. Sutpal Singh, D.P.M.NPI 1558392183
Title
President
Phone
(847) 310-1600

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E3997 CA Primary

Addresses

Primary practice location

1585 Barrington Rd
Suite 603
Hoffman Estates, IL 60169-1090

Mailing address

1585 Barrington Rd
Suite 603
Hoffman Estates, IL 60169-1090
Phone (847) 310-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000834 IL Part B Supplier - Clinic/Group Practice 6507801909 Receives reassigned benefits from 1 practitioner
Practice locations: Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

1585 N Barrington Rd
Ste 603
Hoffman Estates, IL 60169
Phone (847) 310-1600

Practitioners & affiliated clinicians

Practitioners 1

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1780775676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 603",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-310-1600",
            "fax_number": "847-310-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 603",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-310-1600",
            "fax_number": "847-310-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTPAL SINGH D.P.M. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SUTPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-310-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.