NPIMap

Individual provider Active NPI

Inderjit K Hansra-Godfrey, M.D., M.S.

  • Pulmonary Disease Physician
  • Westmont, IL
National Provider Identifier
1902818768
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036109458 Issued in IL
Practice address
700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Phone
(630) 789-9785
Fax
(630) 789-9798
NPI assigned
Aug 12, 2006
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036109458 IL
Pulmonary Disease Physician 207RP1001X 036109458 IL Primary

Addresses

Primary practice location

700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569

Mailing address

700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569
Phone (630) 789-9785

Other identifiers 2

IdentifierTypeStateIssuer
P00926067OtherILRAILROAD MEDICARE
036109458MedicaidIL

Other names 1

  • Inderjit K. Hansra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000515 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3072561612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Pulmonary and Sleep Associates LTDGroup PAC ID 3476531088, 25 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-9000

700 E Ogden Ave
Suite 202
Westmont, IL 60559-1296
Phone (630) 789-9785

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Pulmonary & Sleep Associates LTD Critical Care Medicine CurrentSince Jan 4, 2010 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

396 Remington Blvd
Ste 360
Bolingbrook, IL 60440
Phone (630) 789-9785

700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215

Organizations & group practices 1

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1902818768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSRA-GODFREY",
        "first_name": "INDERJIT",
        "middle_name": "K",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036109458",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036109458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00926067",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109458",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDERJIT",
            "last_name": "HANSRA",
            "middle_name": "K.",
            "credential": "M.D., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.