Active NPI
Ameeta K Bamzai, MD
- Pediatric Allergy/Immunology Physician
- Naperville, IL
National Provider Identifier
1871544932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- 036054234
- Practice address
- 1831 Bayscott Circle
Ste 109 Naperville Childrens Clinic
Naperville, IL 60540 - Phone
- (630) 961-1341
- Fax
- (630) 961-1782
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 036054234 | IL | Primary |
Addresses
Primary practice location
1831 Bayscott Circle
Ste 109 Naperville Childrens Clinic
Naperville, IL 60540
Mailing address
1831 Bayscott Circle
Ste 109 Naperville Childrens Clinic
Naperville, IL 60540
Phone (630) 961-1341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036054234 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036054234 | IL | MD | Pediatric Allergy/Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1871544932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 BAYSCOTT CIRCLE",
"address_2": "STE 109 NAPERVILLE CHILDRENS CLINIC",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-961-1341",
"fax_number": "630-961-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 BAYSCOTT CIRCLE",
"address_2": "STE 109 NAPERVILLE CHILDRENS CLINIC",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-961-1341",
"fax_number": "630-961-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMZAI",
"first_name": "AMEETA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "IL",
"license": "036054234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036054234",
"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 Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.