NPI |
1902810807 |
The code designating the provider’s gender if the provider is a person. |
Entity Type Code |
1 |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
Provider Last Name Legal Name |
SRIPATHI |
The city name in the location address of the provider being identified. |
Provider First Name |
SAROJA |
The first name of the provider, if the provider
is an individual. |
Provider Name Prefix Text |
DR. |
The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
Provider Credential Text |
M.D |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider First Line Business Practice Location Address |
3333 GREEN BAY RD |
The code designating the provider’s gender if the provider is a person. |
Provider Business Practice Location Address City Name |
NORTH CHICAGO |
The code designating the provider’s gender if the provider is a person. |
Provider Business Practice Location Address State Name |
IL |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
600643037 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Business Practice Location Address Telephone Number |
7732571164 |
The middle name of the provider, if the provider
is an individual. |
Provider Enumeration Date |
7/28/2006 |
Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only. |
Last Update Date |
12/13/2021 |
The date that a record was last updated or changed. |
Provider Gender Code |
F |
The code designating the provider’s gender if the provider is a person. |
Healthcare Provider Taxonomy Code 1 |
207R00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Provider License Number 1 |
125047884 |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Provider License Number State Code 1 |
IL |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |