Active NPI
Kasturi, P.C.
- Family Medicine Physician
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaya Kasturi, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31602382 | Other | IL | BLUE CROSS / BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hematology (Internal Medicine) Physician
- Melrose Park, IL
- NPI 1548228711
-
- Urology Physician
- Melrose Park, IL
- NPI 1457309874
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.