Individual provider Active NPI

Nikhil Vij

  • Critical Care Medicine Registered Nurse
  • Romeoville, IL
National Provider Identifier
1912495391
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
041.376585 Issued in IL
Practice address
500 S Weber Rd
Romeoville, IL 60446-6528
Phone
(708) 476-0936
NPI assigned
May 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 041.376585 IL Primary

Addresses

Primary practice location

500 S Weber Rd
Romeoville, IL 60446-6528

Mailing address

500 S Weber Rd
Romeoville, IL 60446-6528
Phone (708) 476-0936

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
I20180718000852 IL Practitioner - Nurse Practitioner 4486901782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kantar Medical Consultants SCGroup PAC ID 1153677067, 2 clinicians
Gandhi Medical Consultants S CGroup PAC ID 9931454634, 3 clinicians

Practice addresses (Care Compare)

1051 Essington Rd
Suite 290
Joliet, IL 60435-2842
Phone (815) 773-7827

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Merit-based Incentive Payment System (MIPS)

Final score
22.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.376585ILMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gandhi Medical Consultants SC CurrentSince Jun 1, 2018 Accepting new patients
Kantar Medical Consultants SC CurrentSince Jun 1, 2018 Accepting new patients

Locations

1051 Essington Rd
Ste 290
Joliet, IL 60435
Phone (815) 773-0099

500 S Weber Rd
Romeoville, IL 60446
Phone (630) 856-8620

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1912495391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466528",
            "telephone_number": "708-476-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466528",
            "telephone_number": "708-476-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJ",
        "first_name": "NIKHIL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041.376585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.