Individual provider Active NPI

Ameeta K Bamzai, MD

  • Pediatric Allergy/Immunology Physician
  • Naperville, IL
National Provider Identifier
1871544932
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
036054234 Issued in IL
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

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036054234MedicaidIL

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

LicenseStateTypeSpecialty
036054234ILMDPediatric 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.

Verify at the official NPI Registry.