NPIMap

Individual provider Active NPI

Ketan Narandas Jobanputra, M.D.

  • Reproductive Endocrinology Physician
  • Hanover Park, IL
National Provider Identifier
1992818827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
036-102289 Issued in IL
Practice address
1515 West Lake Street, #208,
Alexian Brothers' Hospital Pavilion,
Hanover Park, IL 60133
Phone
(630) 540-9317
Fax
(630) 540-2262
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 036-102289 IL Primary

Addresses

Primary practice location

1515 West Lake Street, #208,
Alexian Brothers' Hospital Pavilion,
Hanover Park, IL 60133

Mailing address

1515 E Lake St
208
Hanover Park, IL 60133-4896
Phone (630) 540-9317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000719 IL Practitioner - Obstetrics/Gynecology 1951366228 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Femcare OBGYN LTDGroup PAC ID 0345510715, 2 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Suite 250
Bolingbrook, IL 60440-4303
Phone (630) 759-2966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-102289ILMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foudation CurrentSince Jul 8, 2017 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Vna Health Care CurrentSince Sep 1, 2020 Accepting new patients
Femcare OB-GYN LTD CurrentSince May 30, 2017 Accepting new patients
Obhg Illinois SC CurrentSince Apr 5, 2017 Accepting new patients
Vna Health Care CurrentSince Sep 1, 2020 Accepting new patients
Susan Orhan MD PC CurrentSince Feb 15, 2020 Accepting new patients
Bolingbrook Womens Clinic S C PastSince May 30, 2017 Accepting new patients
MSMC Investors, LLC Past Accepting new patients

Locations

400 N Highland Ave
Aurora, IL 60506

12935 Gregory St
Blue Island, IL 60406
Phone (708) 597-2000

396 Remington Blvd
Ste 250
Bolingbrook, IL 60440
Phone (630) 759-2966

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2701 W 68th St
Fl 3
Chicago, IL 60629
Phone (773) 565-2550

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1555 N Barrington Rd
Ste 410
Hoffman Estates, IL 60169
Phone (847) 781-1894

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDDAD
  • Direct secure messaging: ketan.jobanputra@3033.securemail.prognocis.com

Organizations & group practices 11

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 3

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992818827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E LAKE ST",
            "address_2": "208",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601334896",
            "telephone_number": "630-540-9317",
            "fax_number": "630-540-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WEST LAKE STREET, #208,",
            "address_2": "ALEXIAN BROTHERS' HOSPITAL PAVILION,",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "60133",
            "telephone_number": "630-540-9317",
            "fax_number": "630-540-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBANPUTRA",
        "first_name": "KETAN",
        "middle_name": "NARANDAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036-102289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

Verify at the official NPI Registry.