Organization Active NPI

Bubbles Pediatrics, LLC

  • Pediatrics Physician
  • Hoffman Estates, IL
National Provider Identifier
1801341466
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.138022 Issued in IL
Legal business name
BUBBLES PEDIATRICS, LLC
Practice address
1786 Moon Lake Blvd
Suite 206
Hoffman Estates, IL 60169-5029
Phone
(847) 882-4300
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Utsahi R. Patel, MDNPI 1770845596
Title
Pediatrician
Phone
(847) 882-4300

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036.138022 IL Primary

Addresses

Primary practice location

1786 Moon Lake Blvd
Suite 206
Hoffman Estates, IL 60169-5029

Mailing address

1786 Moon Lake Blvd
Suite 206
Hoffman Estates, IL 60169-5029
Phone (847) 882-4300

Other identifiers 2

IdentifierTypeStateIssuer
1770845596OtherILINDIVIDUAL NPI
036138022MedicaidIL

National Provider Directory

National Provider Directory

Locations

1786 Moon Lake Blvd
Ste 206
Hoffman Estates, IL 60169
Phone (847) 882-4300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1801341466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 206",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695029",
            "telephone_number": "847-882-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 206",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695029",
            "telephone_number": "847-882-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUBBLES PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UTSAHI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "847-882-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.138022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1770845596",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036138022",
            "state": "IL"
        }
    ],
    "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 Aug 23, 2016; 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.