SIGNATURE RETINA CONSULTANTS PC — NPI 1821714940 (Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) in NORMAL, IL)

CMS-1500 Box 24J / 33a • NPI

1821714940

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207WX0107X (CMS 18)

Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)

Box 32 Service Location & ZIP+4

2010 JACOBSSEN DR STE C, NORMAL, IL, 61761-6280

✓ 9-Digit EDI 837 ZIP+4 (61761-6280)

Practice Phone & Referral Fax

(815) 390-7271

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821714940 (SIGNATURE RETINA CONSULTANTS PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821714940` (NPI-2 Organization / Facility)
Provider / Legal Name	SIGNATURE RETINA CONSULTANTS PC
Plain-English Specialty	Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) NUCC Code: `207WX0107X` (Ophthalmology, Retina Specialist)
Certifying / Licensing Body	American Board of Ophthalmology (ABO)
Practice Location Address	2010 JACOBSSEN DR STE C, NORMAL, IL, 61761-6280
Practice Telephone / Fax	Tel: (815) 390-7271
Administrative Mailing Address	170 E MAIN ST, BRAIDWOOD, IL, 60408-1912
Enumeration & Last Sync	Enumerated: 2022-10-19 \| CMS Record Updated: 2026-03-27
Authorized Official	SUMIT BHATIA (Owner / Provider)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2010 JACOBSSEN DR STE C, NORMAL, IL, 61761-6280

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Plain-English Taxonomy & CMS Crosswalk (207WX0107X)

What Does Taxonomy Code 207WX0107X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207WX0107X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 18 (Physician/Ophthalmology)
Certifying / Accrediting Authority: American Board of Ophthalmology (ABO)
Clinical Scope: Cloudy vision from cataracts, annual diabetic eye exams, glaucoma pressure checks, sudden flashes/floaters, or macular degeneration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SIGNATURE RETINA CONSULTANTS PC)

Typical CPT / Diagnostic Procedures:

Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening

Common Therapeutic Classes:

Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207WX0107X` — Ophthalmology, Retina Specialist Plain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SIGNATURE RETINA CONSULTANTS PC (NPI #1821714940)