Narendra H Anadkat M D P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036061635 Issued in IL

Legal business name

NARENDRA H ANADKAT M D P C

Doing business as

Wabash Primary Care Assoc PC

Practice address

1123 Chestnut St
Mount Carmel, IL 62863-1212

Phone

(618) 263-4376

Fax

(618) 262-7970

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karissa Lynn Turner

Title

Physician Office Director

Phone

(618) 263-6280

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wabash Primary Care Assoc PC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Wabash General Hospital District

  • Rural Health Clinic/Center
  • Mount Carmel, IL
  • NPI 1578012084

  Sold to, 2016-08-09

  CMS change of ownership

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1932224508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CHESTNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631212",
            "telephone_number": "618-263-4376",
            "fax_number": "618-262-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CHESTNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631212",
            "telephone_number": "618-263-4376",
            "fax_number": "618-262-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARENDRA H ANADKAT M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN OFFICE DIRECTOR",
        "authorized_official_telephone_number": "618-263-6280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036061635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215920756",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061635",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabash Primary Care Assoc PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita Miller, RN
• Mt Carmel Eyecare
• Mt. Carmel Chiropractic Clinic, S.C.
• Philip Murphy
• Nicole L Myers, BSW
• Kara Newman, PA-C
• Garrett Kungho Ni, MD
• Amber Nickol, BA
• Whitney Nicole Nixon, OTR/L
• No Boundaries Rehabilitation

• Internal Medicine Physician in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.