Individual provider Active NPI

Avtar S Dhindsa, MD

  • Urology Physician
  • McHenry, IL
National Provider Identifier
1790844181
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
26606 Issued in WV
Practice address
4309 W Medical Center Dr
McHenry, IL 60050-8419
Phone
(815) 338-6600
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01041877A IN
Urology Physician 208800000X CDR.0006659 CO
Urology Physician 208800000X 26606 WV Primary
Urology Physician 208800000X 01041877 IN
Urology Physician 208800000X MD60798311 WA
Urology Physician 208800000X 036076432 IL

Addresses

Primary practice location

4309 W Medical Center Dr
McHenry, IL 60050-8419

Mailing address

515 Main St
Olean, NY 14760-1513
Phone (716) 859-5600

Other practice location 1

305 W Jackson St Ste 301
Carbondale, IL 62901-1474
Phone (618) 351-9300

Other practice location 2

604 Ann St
Parkersburg, WV 26101-5122
Phone (304) 865-5155

Other practice location 3

1520 S Dobson Rd
Suite 320
Mesa, AZ 85202-4725
Phone (480) 412-6980

Other practice location 4

5301 E Grant Rd
Tucson, AZ 85712-2874
Phone (520) 324-5461

Other practice location 5

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3845

Other identifiers 3

IdentifierTypeStateIssuer
036076432MedicaidIL
100209960MedicaidIN
100209960AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adhindsa81528@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, AZ, WA, WV, ID, CO7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20070226000218 IL Practitioner - Urology 7618079492 Reassigns benefits to 1 organization
I20111006000457 IN Practitioner - Urology 7618079492 Reassigns benefits to 1 organization
I20120521000215 AZ Practitioner - Urology 7618079492 Reassigns benefits to 2 organizations
I20171222000217 WA Practitioner - Urology 7618079492 Reassigns benefits to 1 organization
I20200114000424 WV Practitioner - Urology 7618079492 Reassigns benefits to 1 organization
I20200420002080 ID Practitioner - Urology 7618079492 Reassigns benefits to 1 organization
I20260326000079 CO Practitioner - Urology 7618079492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Medical Services NFPGroup PAC ID 3678677390, 331 clinicians

Practice addresses (Care Compare)

305 W Jackson St
Suite 301
Carbondale, IL 62901-1474
Phone (618) 529-0520

Hospital & facility affiliations

  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0006659COMDUrology Physician
01041877INMDUrology Physician
MD60798311WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Medical Services, NFP CurrentSince Feb 25, 2025 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince May 16, 2023 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince May 16, 2023 Accepting new patients
Sunnyside Community Hospital CurrentSince Dec 1, 2017 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Pocatello Health Services, LLC CurrentSince Mar 1, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Dec 1, 2017 Accepting new patients
United Hospital Center CurrentSince Jul 10, 2020 Accepting new patients
Yuma Regional Medical Center CurrentSince Apr 24, 2019 Accepting new patients
Yuma Regional Medical Center CurrentSince Apr 24, 2019 Accepting new patients
Pocatello Health Services, LLC CurrentSince Mar 1, 2020 Accepting new patients
United Hospital Center, Inc. Urology CurrentSince Jul 10, 2020 Accepting new patients
TMC Medical Network CurrentSince Oct 1, 2023 Accepting new patients
Specialty Physicians of Illinois, LLC Urology Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5310 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1890

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

777 Hospital Way
Ste 215
Pocatello, ID 83201
Phone (208) 239-2580

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

305 W Jackson St
Ste 301
Carbondale, IL 62901
Phone (618) 529-0520

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722

135 Professional Pl
Bridgeport, WV 26330
Phone (681) 342-3595

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

Interoperability endpoints

  • Direct secure messaging: adhindsa283505@ahs.direct-ci.com
  • Direct secure messaging: adhindsa193408@santaclaravalley.direct-ci.net
  • Direct secure messaging: avtar.dhindsa.1@8478.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1790844181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601513",
            "telephone_number": "716-859-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-338-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Jackson St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011474",
            "country_code": "US",
            "telephone_number": "618-351-9300",
            "fax_number": "618-351-9307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Ann St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015122",
            "country_code": "US",
            "telephone_number": "304-865-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 S Dobson Rd",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024725",
            "country_code": "US",
            "telephone_number": "480-412-6980",
            "fax_number": "480-412-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122874",
            "country_code": "US",
            "telephone_number": "520-324-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3845",
            "fax_number": "970-764-3823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHINDSA",
        "first_name": "AVTAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01041877A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "CDR.0006659",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "26606",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01041877",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD60798311",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036076432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076432",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209960",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209960A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adhindsa81528@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 301",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.