Organization Active NPI

Naperville Family Practice Inc

  • Primary Care Clinic/Center
  • Naperville, IL
National Provider Identifier
1861671372
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NAPERVILLE FAMILY PRACTICE INC
Practice address
720 Brom CT
101
Naperville, IL 60540-6531
Phone
(630) 355-8900
Fax
(630) 355-8983
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mrs. Krishna S Bathina, M.D.
Title
Doctor
Phone
(630) 355-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X IL Primary

Addresses

Primary practice location

720 Brom CT
101
Naperville, IL 60540-6531

Mailing address

720 Brom CT
101
Naperville, IL 60540-6531
Phone (630) 355-8900

Other identifiers 3

IdentifierTypeStateIssuer
1265548093OtherILINDIVIDUAL NPI
208909OtherILMEDICARE GROUP
02232550OtherILBLUE CROSS

National Provider Directory

National Provider Directory

Locations

720 Brom Ct
Ste 204A
Naperville, IL 60540
Phone (630) 355-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1861671372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BROM CT",
            "address_2": "101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406531",
            "telephone_number": "630-355-8900",
            "fax_number": "630-355-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BROM CT",
            "address_2": "101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406531",
            "telephone_number": "630-355-8900",
            "fax_number": "630-355-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "BATHINA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-355-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265548093",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "208909",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02232550",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.