Active NPI
Subhendu Sinhamahapatra MD SC
- Endocrinology, Diabetes & Metabolism Physician
- Kankakee, IL
National Provider Identifier
1922133271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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 DirectoryLocations
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.