Individual provider Active NPI

Ehab Ghassan Dababneh, MD

  • Interventional Cardiology Physician
  • Naperville, IL
National Provider Identifier
1003255308
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036.140716 Issued in 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
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-140716 IN
Cardiovascular Disease Physician 207RC0000X 036.140716 IL
Interventional Cardiology Physician 207RI0011X 036.140716 IL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160805001078 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002058492 Reassigns benefits to 6 organizations
I20210923002329 WI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6002058492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians
Edward HospitalGroup PAC ID 0042108110, 98 clinicians
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-140716INMDInternal Medicine Physician
036.140716ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Oct 26, 2021 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jun 27, 2016 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Oct 26, 2021 Accepting new patients
Siu Physicians & Surgeons, Inc Internal Medicine CurrentSince Jun 27, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 3, 2021 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Oct 26, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 3, 2021 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Oct 26, 2021 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Oct 26, 2021 Accepting new patients
Cardiovascular Institute Gpe Inc Cardiovascular Disease CurrentSince Aug 1, 2025 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
Naperville, IL 60540
Phone (312) 355-0450

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

701 N 1st St
Rm B146
Springfield, IL 62781

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

751 N Rutledge St
Ste 1100
Springfield, IL 62702
Phone (217) 545-0182

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1003255308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABABNEH",
        "first_name": "EHAB",
        "middle_name": "GHASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "036-140716",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.140716",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036.140716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.