Individual provider Active NPI

Elana Dubin, PA-C

  • Physician Assistant
  • Wheaton, IL
National Provider Identifier
1013307347
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005331 Issued in IL
Practice address
199 Town SQ Ste a
Wheaton, IL 60189-3878
Phone
(630) 871-6690
Fax
(815) 741-8660
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005331 IL Primary

Addresses

Primary practice location

199 Town SQ Ste a
Wheaton, IL 60189-3878

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (920) 663-9016

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edubin117535@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616002871 IL Practitioner - Physician Assistant 7517278666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1800 N Main St
Wheaton, IL 60187-3149
Phone (630) 665-6200

2155 City Gate LN
Suite 115
Naperville, IL 60563-7733
Phone (630) 946-2100

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Apr 11, 2016 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 11, 2016 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

199 Town Sq
Ste A
Wheaton, IL 60189
Phone (630) 871-6690

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

199 Town Sq
Wheaton, IL 60189
Phone (630) 871-6690

Interoperability endpoints

  • Direct secure messaging: edubin117535@dulyhealthandcare.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1013307347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "920-663-9016",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 TOWN SQ STE A",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601893878",
            "telephone_number": "630-871-6690",
            "fax_number": "815-741-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "ELANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edubin117535@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "199 Town Sq Ste A",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601893878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.