{"npi":"1033315965","type":"NPI-1","status":"active","name":{"display":"Dr. Vibhu Dhawan MD","other":[],"first":"VIBHU","last":"DHAWAN","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"IL","license":"036117862"},{"code":"207RN0300X","description":"Nephrology Physician","primary":false,"state":"NV","license":"19123"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"AZ","license":"53839"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"MO","license":"2011011351"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"IL","license":"036117862"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"IL","license":"036117862"}]},"addresses":[{"purpose":"LOCATION","street_1":"4500 MEMORIAL DR","city":"BELLEVILLE","state":"IL","postal_code":"622265360","country_code":"US","phone":"6182576220"},{"purpose":"MAILING","street_1":"4500 MEMORIAL DR","city":"BELLEVILLE","state":"IL","postal_code":"622265360","country_code":"US","phone":"5738252413"}],"license":{"state":"AZ","number":"53839"},"identifiers":[{"type_code":"01","label":"Other","value":"809840","state":"IL","issuer":"MEDICARE GROUP #"},{"type_code":"05","label":"Medicaid","value":"036117862","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"CA4079","state":"IL","issuer":"RR MEDICARE GROUP PTAN"},{"type_code":"01","label":"Other","value":"P00617102","state":"IL","issuer":"RR MEDICARE GROUP MEMBER PTAN"},{"type_code":"05","label":"Medicaid","value":"1033315965","state":"NV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080722000262","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"IL","pac_id":"6901979111"},{"enrlmt_id":"I20140612000072","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"MO","pac_id":"6901979111"},{"enrlmt_id":"I20200301000008","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"GA","pac_id":"6901979111"},{"enrlmt_id":"I20210113003017","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"NV","pac_id":"6901979111"},{"enrlmt_id":"I20210928001766","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"AZ","pac_id":"6901979111"},{"enrlmt_id":"I20241021000692","type_code":"14-C6","type_desc":"PRACTITIONER - HOSPITALIST","state":"KY","pac_id":"6901979111"}]},"enumeration_date":"2007-06-26","last_updated":"2025-09-23","_meta":{"source":"NPPES","snapshot_date":"2025-09-23","doc_url":"https://findmynpi.com/api"}}