Active NPI
Veena S Bhamre, M.D.
- Hospitalist Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036132526
- Practice address
- 2650 Ridge Ave.
Dept. of Pediatrics
Evanston, IL 60201-1057 - Phone
- (847) 570-1348
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036132526 | IL | |
| Hospitalist Physician | 208M00000X | 036132526 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave.
Dept. of Pediatrics
Evanston, IL 60201-1057
Mailing address
2650 Ridge Ave.
Dept. of Pediatrics
Evanston, IL 60201-1057
Phone (847) 570-1348
Other practice location 1
800 E 55th St
Chicago, IL 60615-4906
Phone (773) 802-0660
Other practice location 2
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (800) 599-7337
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vbhamre88252@direct.luhs.org | LOYOLA UNIVERSITY MEDICAL CENTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036132526 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friend Family Health Center Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Pediatrics | Current | Accepting new patients |
| Friend Family Health Center Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Friend Family Health Center Inc | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193
1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1578560090
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1245842863
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1477175305
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1831419092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPT. OF PEDIATRICS",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011057",
"telephone_number": "847-570-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPT. OF PEDIATRICS",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011057",
"telephone_number": "847-570-1348"
}
],
"practiceLocations": [
{
"address_1": "800 E 55th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606154906",
"country_code": "US",
"telephone_number": "773-802-0660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 NE Glen Oak Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616370001",
"country_code": "US",
"telephone_number": "800-599-7337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHAMRE",
"first_name": "VEENA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2023-08-08",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036132526",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036132526",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vbhamre88252@direct.luhs.org",
"affiliation": "Y",
"affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.