SURESH C HATHIWALA MD NPI 1508863655

NPI Information

NPI: 1508863655
Provider Name: SURESH C HATHIWALA, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
CALIFORNIA AVE 15TH STREET
DEPT OF MEDICINE
CHICAGO, IL
ZIP 60608
Phone: (773) 257-6552
Get Directions

Suresh C Hathiwala, MD is a nephrology internal medicine in Chicago, IL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Suresh C Hathiwala, MD NPI is 1508863655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CALIFORNIA AVE 15TH STREET
DEPT OF MEDICINE
CHICAGO, IL
ZIP 60608-797
Phone: (773) 257-6552
Fax: (773) 257-6027

The NPI 1508863655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 9/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	575480	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP NUMBER
2	C30486	OTHER	ILLINOIS	RR MEDICARE GROUP
3	1616108	OTHER	ILLINOIS	BCBS
4	H96288	MEDICARE UPIN	ILLINOIS
5	922820	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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