Individual provider Active NPI

Bhagvanji Meghpara, D.O.

  • Ophthalmology Physician
  • Hazel Crest, IL
National Provider Identifier
1952439200
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036094935 Issued in IL
Practice address
3330 W 177TH St
Unit 1 B
Hazel Crest, IL 60429-2185
Phone
(708) 799-9490
Fax
(708) 799-9773
NPI assigned
Mar 1, 2007
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036094935 IL Primary

Addresses

Primary practice location

3330 W 177TH St
Unit 1 B
Hazel Crest, IL 60429-2185

Mailing address

3330 W 177TH St
Unit 1 B
Hazel Crest, IL 60429-2185
Phone (708) 799-9490

Other identifiers 1

IdentifierTypeStateIssuer
036094935MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmeghpara279805@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060112000173 IL Practitioner - Ophthalmology 4284657768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Osteopathy, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3330 W 177TH St
Suite 1B
Hazel Crest, IL 60429-2185
Phone (708) 799-9490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
68.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036094935ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Eye Center, S.C. Ophthalmology CurrentSince Feb 1, 2006 Accepting new patients
George J Dangles, MD, PC Ophthalmology Past Accepting new patients
Galaxy Optical, Inc. PastSince Feb 1, 2006 Accepting new patients

Locations

3330 W 177th St
Ste 1B
Hazel Crest, IL 60429
Phone (708) 799-9490

Interoperability endpoints

  • Direct secure messaging: bmeghpara@swec.direct.eyemdemr.com
  • Direct secure messaging: bmeghpara279805@direct.myadvocateaurora.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1952439200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "UNIT 1 B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292185",
            "telephone_number": "708-799-9490",
            "fax_number": "708-799-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "UNIT 1 B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292185",
            "telephone_number": "708-799-9490",
            "fax_number": "708-799-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGHPARA",
        "first_name": "BHAGVANJI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036094935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094935",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmeghpara279805@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3330 W 177th St",
            "address_2": "Unit 1 B",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3330 W 177th St",
            "address_2": "Unit 1 B",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.