Individual provider Active NPI

Reinhold Llerena, MD

  • Family Medicine Physician
  • Barrington, IL
National Provider Identifier
1053349720
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-097072 Issued in IL
Practice address
530 N Hough St Ste 110
Barrington, IL 60010-3176
Phone
(847) 381-0174
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-097072 IL Primary

Addresses

Primary practice location

530 N Hough St Ste 110
Barrington, IL 60010-3176

Mailing address

530 N Hough St Ste 110
Barrington, IL 60010-3176
Phone (847) 381-0174

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reinhold.llerena.1@380.direct.athenahealth.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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000074 IL Practitioner - Family Practice 0143403048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-097072ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC Family Medicine CurrentSince Jan 24, 2011 Accepting new patients
Alexian Brothers Medical Group Specialty Care Family Medicine PastSince Nov 1, 2019 Accepting new patients

Locations

530 N Hough St
Barrington, IL 60010
Phone (847) 381-0174

114 S Northwest Hwy
Barrington, IL 60010
Phone (847) 999-7546

530 N Hough St
Ste 110
Barrington, IL 60010
Phone (847) 381-0174

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

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.

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1053349720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N HOUGH ST STE 110",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103176",
            "telephone_number": "847-381-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N HOUGH ST STE 110",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103176",
            "telephone_number": "847-381-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLERENA",
        "first_name": "REINHOLD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-097072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reinhold.llerena.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "530 N Hough St Ste 110",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600103176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.