Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nikki Bharucha

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780357442

Nikki Bharucha is a Physician Assistant in Naperville, Illinois. Qualified in 2022, 4 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1948 Three Farms Ave
Naperville, IL 60540-1105
Phone: (732) 781-6454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009407 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780357442
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2021
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address28262 Diehl Rd Apt 318, Warrenville, IL 60555-3877

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Naperville