Imelda Dawis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036055383 Issued in IL

Practice address

364 N Farnsworth Ave
Aurora, IL 60505-3083

Phone

(630) 898-7960

NPI assigned

Feb 28, 2007

Last updated

Jan 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heaven's Angels Health Care Services Inc Home health agency, Lincolnwood, IL, CCN 148054
• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Imelda Dawis MD SC

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1497026181
  Medicare reassignment NPD Authorized official
• Heera Corporation

  dba Dev Pharmacy

  • Community/Retail Pharmacy
  • Aurora, IL
  • NPI 1235140732
  NPD (past)

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

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation
• Heaven's Angels Health Care Services Inc.

  • Home Health Agency
  • Lincolnwood, IL
  • NPI 1316030695
  Care Compare affiliation

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1083742324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 N KEATING AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122101",
            "telephone_number": "630-898-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053083",
            "telephone_number": "630-898-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWIS",
        "first_name": "IMELDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036055383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Davis, LSW
• Kristin D Davis, M.D.
• Lashanta T Davis
• Meredith P Davis, MS, CRNA
• Arti Dawar, PT
• Shireen Dawud, PHARMD
• Emily Day
• McKenna Aileen Day
• Arjun Dayal, M.D.
• Daybreak Therapy Services PLLC

• Family Medicine Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.

Verify at the official NPI Registry.