Individual provider Active NPI

Sejal N Jhaveri, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Kildeer, IL
National Provider Identifier
1912373655
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013103 Issued in IL
Practice address
22455 N Hopewell CT
Kildeer, IL 60047-7925
Phone
(847) 767-6006
NPI assigned
Aug 17, 2015
Last updated
Aug 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.013103 IL Primary

Addresses

Primary practice location

22455 N Hopewell CT
Kildeer, IL 60047-7925

Mailing address

22455 N Hopewell CT
Kildeer, IL 60047-7925
Phone (847) 767-6006

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026000006 IL Practitioner - Nurse Practitioner 5496064818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.013103ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pitroda Medical LLC CurrentSince May 1, 2024 Accepting new patients
Affinity Health Corp. PastSince Feb 12, 2019 Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

19 E Schaumburg Rd
Fl 2
Schaumburg, IL 60194
Phone (224) 353-6361

19 E Schaumburg Rd
Ste 200
Schaumburg, IL 60194
Phone (224) 353-6361

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1912373655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22455 N HOPEWELL CT",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600477925",
            "telephone_number": "847-767-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22455 N HOPEWELL CT",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600477925",
            "telephone_number": "847-767-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAVERI",
        "first_name": "SEJAL",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kildeer, IL

Sources for this page

Verify at the official NPI Registry.