Indupreet Nagra, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.146769 Issued in IL

Practice address

8311 Roosevelt Rd
Forest Park, IL 60130

Phone

(708) 209-4180

Fax

(708) 209-2280

NPI assigned

Jul 8, 2014

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riveredge Hospital IncGroup PAC ID 3870401268, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riveredge Hospital Inc

  • Psychiatric Hospital
  • Forest Park, IL
  • NPI 1710070701
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1831505106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N STATE ST APT 2507",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "60130",
            "telephone_number": "708-209-4180",
            "fax_number": "708-209-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352907",
            "country_code": "US",
            "telephone_number": "617-942-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8311 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "IL",
            "postal_code": "601302529",
            "country_code": "US",
            "telephone_number": "708-209-4180",
            "fax_number": "708-209-2280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643037",
            "country_code": "US",
            "telephone_number": "847-578-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGRA",
        "first_name": "INDUPREET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "290528",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.146769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036146769",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren M Mollette, BS
• Erica Christine Montelo
• Eulonda Moulton, LMT
• Jessica A Nacar, RPH
• Nicole Naglich, DNP
• Kate Naudin, LPC, NCC
• Mary Needham
• Thomas John Neidenbach, PT
• Lauren Nelson
• Lauren Netrefa, COTA/L

• Psychiatry Physician in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.