Organization Active NPI

Kasturi, P.C.

  • Family Medicine Physician
  • Melrose Park, IL
National Provider Identifier
1871551184
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KASTURI, P.C.
Practice address
1111 Superior St
Suite 507
Melrose Park, IL 60160-4138
Phone
(708) 681-4040
NPI assigned
May 3, 2006
Last updated
Feb 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. Jaya Kasturi, M.D.NPI 1548228711
Title
Owner Physician
Phone
(630) 718-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1111 Superior St
Suite 507
Melrose Park, IL 60160-4138

Mailing address

1730 Park St
Suite 101
Naperville, IL 60563-2688
Phone (630) 718-0200

Other identifiers 1

IdentifierTypeStateIssuer
31602382OtherILBLUE CROSS / BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1812 N 19th Ave
Ste 23
Melrose Park, IL 60160
Phone (708) 343-3122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1871551184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST",
            "address_2": "SUITE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632688",
            "telephone_number": "630-718-0200",
            "fax_number": "630-718-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 507",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-681-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASTURI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "KASTURI",
        "authorized_official_first_name": "JAYA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "630-718-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "31602382",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.