Mukhtar Singh Nandra, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-083629 Issued in IL

Practice address

115 E South St
Unit F
Plano, IL 60545-1417

Phone

(630) 552-7166

Fax

(630) 552-7168

NPI assigned

Nov 16, 2006

Last updated

Oct 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nandra Family Practice, LTD.Group PAC ID 7315092673, 2 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Nandra Family Practice, LTD.

  • Family Medicine Physician
  • Plano, IL
  • NPI 1629203534
  Medicare reassignment Care Compare group Authorized official
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1942373931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E SOUTH ST",
            "address_2": "UNIT F",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605451417",
            "telephone_number": "630-552-7166",
            "fax_number": "630-552-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E SOUTH ST",
            "address_2": "UNIT F",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605451417",
            "telephone_number": "630-552-7166",
            "fax_number": "630-552-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDRA",
        "first_name": "MUKHTAR",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-083629",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "4377",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "31673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-083629",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ma Boule DMD PC (Boule Dental)
• Diamond Mafrtin
• Mak Anesthesia Services S.C.
• Adam Paul Michels, M.S., CCC-SLP
• Nandra Family Practice, LTD.
• Ravinderpal Singh Nandra, M.D.
• Narcrissa Berry
• Jana Nebel, LMT
• Jessica Gonzalez Nunez, LCSW
• Emily O'Reilly, APN

• Family Medicine Physician in Plano, IL
• Providers in Plano, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.