Shobha S Iyengar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094136 Issued in IL

Practice address

2186 Unit 1 North State Street
203
Belvidere, IL 61008-3918

Phone

(815) 547-5007

Fax

(815) 547-7338

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
• Uw Health Hospital, Rockford, IL, CCN 140228

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shobha S Iyengar, MD SC

  • Internal Medicine Physician
  • Belvidere, IL
  • NPI 1114115060
  Medicare reassignment NPD Authorized official
• Hospitalist Medicine Physicians of Illinois - Rockford, LLC

  • Internal Medicine Physician
  • Rockford, IL
  • NPI 1790263325
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Anthony Medical Center

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1790739977
  Care Compare affiliation
• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1891724241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 SANDHURST LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072789",
            "telephone_number": "815-547-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 UNIT 1 NORTH STATE STREET",
            "address_2": "203",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083918",
            "telephone_number": "815-547-5007",
            "fax_number": "815-547-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "SHOBHA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094136",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica J Hoyer, APN
• Sarah Jane Hulstedt, DPT
• Ihc-Swedishamerican Emergency Physicians, LLC
• Illinois Wound Care Centers LLC
• Infinity Care Home Health Inc.
• Ameira Jalouga-Lambaz, PHARMD
• Lisa James, PHD
• Janet Wattles Center
• Allyson Jansen, SSP
• Javurek Chiropractic of Belvidere, PC

• Internal Medicine Physician in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.