Active NPI
Iyengar Geriatric Hospitalist SC
- Multi-Specialty Clinic/Center
- Highland, IN
National Provider Identifier
1881430510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- IYENGAR GERIATRIC HOSPITALIST SC
- Practice address
- 10343 Indianapolis Blvd
Highland, IN 46322-3638 - Phone
- (773) 697-3729
- NPI assigned
- Jul 2, 2024
- Last updated
- Jul 2, 2024
- 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
- Danilo R Coite
- Title
- Access Manager
- Phone
- (775) 848-1032
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Radiology Clinic/Center | 261QR0200X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
10343 Indianapolis Blvd
Highland, IN 46322-3638
Mailing address
1740 Oak Ave Ste C1C2
Evanston, IL 60201-5989
Phone (773) 697-3729
National Provider Directory
National Provider Directory- Tax ID family
- Iyengar Geriatric Hospitalist SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1013753821
Locations
1740 Oak Ave
Ste C1C2
Evanston, IL 60201
10343 Indianapolis Blvd
Highland, IN 46322
Phone (502) 322-7622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719878400000",
"number": "1881430510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 OAK AVE STE C1C2",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015989",
"telephone_number": "773-697-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10343 INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463223638",
"telephone_number": "773-697-3729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IYENGAR GERIATRIC HOSPITALIST SC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A",
"authorized_official_last_name": "COITE",
"authorized_official_first_name": "DANILO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ACCESS MANAGER",
"authorized_official_telephone_number": "775-848-1032"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.