JYOTI SHARAN NANDI M.D.
NPI 1376791749
Internal Medicine in Park Ridge, IL
About Jyoti Sharan Nandi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JYOTI SHARAN NANDI M.D. (NPI 1376791749) is an individual internal medicine provider in Park Ridge, Illinois, licensed in Illinois (125052910) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jyoti Sharan Nandi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jyoti Nandi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jyoti Nandi's NPI number?
The NPI number for Jyoti Nandi is 1376791749. It was assigned to this individual provider in the NPPES registry on August 28, 2008.
Where is Jyoti Nandi located?
Jyoti Nandi practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-9340.
What is Jyoti Nandi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jyoti Nandi enrolled in Medicare?
Yes. Jyoti Nandi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jyoti Nandi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jyoti Nandi reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jyoti Nandi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jyoti Nandi was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jyoti Sharan Nandi, M.D. · NPI 1376791749
Internal Medicine physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since August 28, 2008.
## Identity
- **NPI:** 1376791749 (Entity type: Individual)
- **Enumerated:** August 28, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 125052910 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1775 BALLARD RD, Park Ridge, IL 60068-1005
- **Phone:** (847) 318-9340
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376791749) · Data from the CMS NPPES public registry.