Individual provider Active NPI

Alan Buchman, MD

  • Gastroenterology Physician
  • Skokie, IL
National Provider Identifier
1104885557
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036101581 Issued in IL
Practice address
9669 Kenton Ave
Suite 306
Skokie, IL 60076-1266
Phone
(847) 674-7501
Fax
(847) 674-7512
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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 036101581 IL Primary

Addresses

Primary practice location

9669 Kenton Ave
Suite 306
Skokie, IL 60076-1266

Mailing address

9669 Kenton Ave
Suite 306
Skokie, IL 60076-1266
Phone (847) 674-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000405 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 6608903885 Reassigns benefits to 1 organization
Practice locations: Skokie, IL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Northwestern Medical Faculty Foundation Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 12, 2015 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 12, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

Interoperability endpoints

  • Direct secure messaging: abuchman88368@uihealth.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1104885557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "SUITE 306",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-674-7501",
            "fax_number": "847-674-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "SUITE 306",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-674-7501",
            "fax_number": "847-674-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHMAN",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036101581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.