Enas A. Enas, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-047389 Issued in IL

Practice address

4121 Fairview Ave
Suite103
Downers Grove, IL 60515-2264

Phone

(630) 960-1844

Fax

(630) 852-0244

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: eenas251135@direct.myadvocateaurora.org

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1093771040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "SUITE103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-960-1844",
            "fax_number": "630-852-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE",
            "address_2": "SUITE103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152264",
            "telephone_number": "630-960-1844",
            "fax_number": "630-852-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENAS",
        "first_name": "ENAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-047389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047389",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eenas251135@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "4121 Fairview Ave",
            "address_2": "Suite103",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605152264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4121 Fairview Ave",
            "address_2": "Suite103",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605152264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Specialist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.