Active NPI
Islam Elboghdady, M.D.
- Orthopaedic Surgery Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036.157276
- Practice address
- 120 Spalding Dr Ste 400
Naperville, IL 60540-6559 - Phone
- (630) 967-2225
- NPI assigned
- Jun 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 125067483 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 305029 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 036.157276 | IL | Primary |
Addresses
Primary practice location
120 Spalding Dr Ste 400
Naperville, IL 60540-6559
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elboghdady232496@direct.edward.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rush Medical College of Rush University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Spalding Dr
Suite 100
Naperville, IL 60540-6526
Phone (630) 961-0423
Hospital & facility affiliations
- Liberty Home Health Care, Inc
- Newsome Home Health Care & Purpose Care of Illinois - Joliet
- Loyal Home Health
- Edward Hospital
- Uchicago Medicine Adventhealth Hinsdale
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 134 |
| Laminectomy or laminotomy (partial removal of spine bones) | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.157276 | IL | MD | Orthopaedic Surgery Physician |
| 125067483 | IL | MD | Orthopaedic Surgery Physician |
| 305029 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Chicago Prostate Cancer Surgery Center, LLC | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
120 Spalding Dr
Ste 100
Naperville, IL 60540
Phone (630) 790-1700
120 Spalding Dr
Ste 400
Naperville, IL 60540
Phone (630) 967-2225
815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854
Interoperability endpoints
- ielboghdady232496@dulyhealthandcare.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Ambulatory Surgical Clinic/Center
- Westmont, IL
- NPI 1497706626
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- Home Health Agency
- Hoffman Estates, IL
- NPI 1851571442
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- Home Health Agency
- Chicago, IL
- NPI 1841277506
-
- Home Health Agency
- Joliet, IL
- NPI 1740592336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1043692585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SPALDING DR STE 400",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406559",
"telephone_number": "630-967-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBOGHDADY",
"first_name": "ISLAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-21",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "125067483",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "305029",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036.157276",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elboghdady232496@direct.edward.org",
"affiliation": "N",
"address_1": "120 Spalding Dr Ste 400",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605406559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.