Active NPI
Vishnu Jindal, M.D.
- Internal Medicine Physician
- Long Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036105333
- Practice address
- 3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-6400 - Phone
- (847) 719-2220
- Fax
- (847) 719-2265
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036105333 | IL | |
| Internal Medicine Physician | 207R00000X | 036105333 | IL | Primary |
Addresses
Primary practice location
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-6400
Mailing address
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-6400
Phone (847) 719-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105333 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vjindal235479@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Ohio, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 W Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5095
450 W Hwy 22
Barrington, IL 60010-1919
Phone (847) 381-9600
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900
Hospital & facility affiliations
- Advocate Condell Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036105333 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Practices Inpatient Care, LTD. | Internal Medicine | Current | Accepting new patients |
| Best Practices Inpatient Care,LTD | Internal Medicine | Current | Accepting new patients |
| Startcare, Inc. | Past | Accepting new patients |
Locations
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220
3880 Salem Lake Dr
#F
Long Grove, IL 60047
Phone (847) 235-3072
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000
Interoperability endpoints
- vjindal235479@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1619913522
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1417240946
-
- Mental Health Counselor
- New York, NY
- NPI 1235674409
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1851344766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 SALEM LAKE DR",
"address_2": "STE F",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600476400",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 SALEM LAKE DR",
"address_2": "STE F",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600476400",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JINDAL",
"first_name": "VISHNU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036105333",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036105333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105333",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vjindal235479@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3880 Salem Lake Dr",
"address_2": "STE F",
"city": "Long Grove",
"state": "IL",
"country_code": "US",
"postal_code": "600476400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3880 Salem Lake Dr",
"address_2": "STE F",
"city": "Long Grove",
"state": "IL",
"country_code": "US",
"postal_code": "600476400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.