NPIMap

Individual provider Active NPI

Kamran Heydarpour, MD

  • Gastroenterology Physician
  • Oak Park, IL
National Provider Identifier
1093764193
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036091055 Issued in IL
Practice address
1 Erie CT
Suite Number 3200
Oak Park, IL 60302-2566
Phone
(708) 763-8248
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036091055 IL Primary

Addresses

Primary practice location

1 Erie CT
Suite Number 3200
Oak Park, IL 60302-2566

Mailing address

PO Box 14905
Chicago, IL 60614-0905
Phone (708) 763-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040521000215 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 4981691078 Reassigns benefits to 3 organizations
I20260102003231 IL Practitioner - Internal Medicine 4981691078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

4177 S Archer Ave
Chicago, IL 60632-1849
Phone (773) 254-2222

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51180CAMDProsthodontist
036091055ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Cook County CurrentSince Jun 6, 2025 Accepting new patients
Pathology Services Illinois, LTD Current Accepting new patients
Cook County CurrentSince Jun 6, 2025 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Lakeshore Gastroenterology and Liver Disease Institute S.C. Gastroenterology CurrentSince Jan 5, 2004 Accepting new patients
Saint Anthony Health Affiliates Past Accepting new patients
West Suburban Gastroenterology S C Gastroenterology Past Accepting new patients
David C Chua, MD SC LTD Gastroenterology Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Chicago Digestive and Liver Disease Specialist S C Gastroenterology Past Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

1 Erie Ct
Ste 3100
Oak Park, IL 60302
Phone (708) 763-6585

1 Erie Ct
#3100
Oak Park, IL 60302
Phone (708) 763-8248

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1093764193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140905",
            "telephone_number": "708-763-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ERIE CT",
            "address_2": "SUITE NUMBER 3200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022566",
            "telephone_number": "708-763-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDARPOUR",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036091055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.