Active NPI
Divya Nagabushana, MD
- Neurology Physician
- Chicago, IL
National Provider Identifier
1952174088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 125.083057
- Practice address
- 1241 W Jackson Blvd Unit 213
Chicago, IL 60607-2858 - Phone
- (224) 516-7025
- NPI assigned
- Oct 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 125.083057 | IL | Primary |
Addresses
Primary practice location
1241 W Jackson Blvd Unit 213
Chicago, IL 60607-2858
Mailing address
1241 W Jackson Blvd Unit 213
Chicago, IL 60607-2858
Phone (224) 516-7025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.083057 | IL | MD | Neurology Physician |
Interoperability endpoints
- dnagabushana163441@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1952174088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 W JACKSON BLVD UNIT 213",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072858",
"telephone_number": "224-516-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 W JACKSON BLVD UNIT 213",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072858",
"telephone_number": "224-516-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGABUSHANA",
"first_name": "DIVYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "125.083057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.