Ehab Ghassan Dababneh, MD
Individual provider Active NPI Interventional Cardiology Physician · Naperville, IL
NPI 1003255308 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1003255308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 036.140716 (IL)
- Practice address
- 10 Martin Ave Ste 200
Naperville, IL 60540-6535 - Phone
- (630) 600-0700
- Fax
- (630) 600-0701
- NPI assigned
- Jun 19, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiovascular Institute Gpe Inc
Edward Hospital
Elmhurst Memorial Hospital
Practice addresses (Care Compare)
10 Martin Ave
Suite 200
Naperville, IL 60540-6535
Phone (630) 600-0700
130 N Weber Rd
Suite 108
Bolingbrook, IL 60440-1519
Phone (630) 646-5770
140 -183 Addison
Suite 130
Elmhurst, IL 60126
Phone (331) 221-1000
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000
16519 S Route 59
Suite a
Plainfield, IL 60586-2608
Phone (630) 600-0700
303 W Lake St
Suite 301
Addison, IL 60101-2565
Phone (331) 221-4300
801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450
801 S Washington St
Naperville, IL 60540-7499
Hospital & facility affiliations
- Edward Hospital
- Elmhurst Memorial Hospital
- Swedish Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160805001078 | IL | Practitioner - Interventional Cardiology |
6002058492 | Reassigns benefits to 6 organizations |
| I20210923002329 | WI | Practitioner - Interventional Cardiology |
6002058492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-140716 | IN | MD | Internal Medicine Physician |
| 036.140716 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Hospital | Cardiovascular Disease | Current |
Accepting new patients |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Internal Medicine | Current |
Accepting new patients |
| Naperville Psychiatric Ventures | Current |
Accepting new patients | |
| Cardiovascular Institute Gpe Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Elmhurst Memorial Hospital | Current |
Accepting new patients | |
| Edward Hospital | Current |
Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current |
Accepting new patients | |
| Naperville Psychiatric Ventures | Current |
Accepting new patients |
Locations
303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200
10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572
801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500
852 S West St
Naperville, IL 60540
Phone (630) 305-5027
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
751 N Rutledge St
Ste 1100
Springfield, IL 62702
Phone (217) 545-0182
701 N 1st St
Rm B146
Springfield, IL 62781
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-140716 | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 036.140716 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036.140716 | IL | Yes |
Addresses
Primary practice location
10 Martin Ave Ste 200
Naperville, IL 60540-6535
Mailing address
10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone (630) 600-0700
Other providers in Naperville, IL
- Laura Ann Czerwinski
- Katherine M. Czyzewski
- D. Gordon & Associates
- Christina D'Amico
- Molly M D'Costa
- Sara Vivian Dabrowski
- Sonia G Dachepalli
- Rifqa Dacloush
- Maria M Dai
- Yolanda Dailey
All providers in Naperville, IL · Interventional Cardiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.