Organization Active NPI

Subhendu Sinhamahapatra MD SC

  • Endocrinology, Diabetes & Metabolism Physician
  • Kankakee, IL
National Provider Identifier
1922133271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SUBHENDU SINHAMAHAPATRA MD SC
Practice address
450 N Kennedy Dr Ste 106
Kankakee, IL 60901-2900
Phone
(815) 937-9990
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Subhendu Sinhamahapatra, M.D.
Title
President
Phone
(815) 937-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

450 N Kennedy Dr Ste 106
Kankakee, IL 60901-2900

Mailing address

450 N Kennedy Dr Ste 106
Kankakee, IL 60901-2900
Phone (815) 937-9990

National Provider Directory

National Provider Directory

Locations

450 N Kennedy Dr
Ste 6
Kankakee, IL 60901
Phone (815) 932-7970

450 N Kennedy Dr
Ste 106
Kankakee, IL 60901
Phone (815) 937-9990

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922133271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N KENNEDY DR STE 106",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012900",
            "telephone_number": "815-937-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N KENNEDY DR STE 106",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012900",
            "telephone_number": "815-937-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBHENDU SINHAMAHAPATRA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINHAMAHAPATRA",
        "authorized_official_first_name": "SUBHENDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-937-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.