Organization Active NPI

Stellar Healthcare PLLC

  • Internal Medicine Physician
  • Northbrook, IL
National Provider Identifier
1982305405
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STELLAR HEALTHCARE PLLC
Practice address
60 Revere Dr Ste 575
Northbrook, IL 60062-1577
Phone
(847) 920-6896
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Bhupinder Singh, MDNPI 1932250446
Title
Owner
Phone
(708) 287-4209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

60 Revere Dr Ste 575
Northbrook, IL 60062-1577

Mailing address

60 Revere Dr Ste 575
Northbrook, IL 60062-1577
Phone (847) 920-6896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230530001386 IL Part B Supplier - Clinic/Group Practice 5092172577 Receives reassigned benefits from 3 practitioners
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

60 Revere Dr
Ste 575
Northbrook, IL 60062
Phone (847) 920-6896

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1982305405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REVERE DR STE 575",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621577",
            "telephone_number": "847-920-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR STE 575",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621577",
            "telephone_number": "847-920-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "BHUPINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-287-4209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.