Active NPI
Chintan A Pathak, MD
- Ophthalmology Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036164842
- Practice address
- 1107 Airport Rd
Bloomington, IL 61704-2544 - Phone
- (309) 662-7700
- NPI assigned
- Nov 16, 2015
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036164842 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1107 Airport Rd
Bloomington, IL 61704-2544
Mailing address
1107 Airport Rd
Bloomington, IL 61704-2544
Phone (309) 662-7700
Other practice location 1
240 E Huron St
Suite 1-200
Chicago, IL 60611-2909
Phone (312) 503-7975
Other practice location 2
Uw Hospitals and Clinics 600 Highland Ave
Madison, WI 53792-2909
Phone (608) 263-6400
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
- Ophthalmology
- Education
- Northwestern University Feinberg Medical School, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1107 Airport Rd
Bloomington, IL 61704-2544
Phone (309) 662-7700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.11 of 100
- Quality
- 97.66
- Improvement activities
- 40
- Cost
- 73.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 379 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036164842 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionpoint Eye Center LLC | Ophthalmology | Current | Accepting new patients |
| Gibson Community Hospital Association | Ophthalmology | Past | Accepting new patients |
Locations
1107 Airport Rd
Bloomington, IL 61704
Phone (309) 662-7700
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Bloomington, IL
- NPI 1518430859
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Ophthalmology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Osf Saint James-John W Albrecht Medical Center
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1861866725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 AIRPORT RD",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617042544",
"telephone_number": "309-662-7700",
"fax_number": "309-662-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 AIRPORT RD",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617042544",
"telephone_number": "309-662-7700"
}
],
"practiceLocations": [
{
"address_1": "240 E Huron St",
"address_2": "Suite 1-200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112909",
"country_code": "US",
"telephone_number": "312-503-7975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Uw Hospitals and Clinics 600 Highland Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537922909",
"country_code": "US",
"telephone_number": "608-263-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATHAK",
"first_name": "CHINTAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036164842",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.
- 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.