Individual provider Active NPI

Terri Washington, M. D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Melrose Park, IL
National Provider Identifier
1114120722
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036118965 Issued in IL
Practice address
1835 Broadway St
Suite 206
Melrose Park, IL 60160-2040
Phone
(708) 345-2211
Fax
(708) 345-2224
NPI assigned
Jun 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036118965 IL Primary

Addresses

Primary practice location

1835 Broadway St
Suite 206
Melrose Park, IL 60160-2040

Mailing address

1835 Broadway St
Suite 206
Melrose Park, IL 60160-2040
Phone (708) 345-2211

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
I20100818001039 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 5092849612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes Osteoporosis Obesity IncGroup PAC ID 8224068002, 2 clinicians

Practice addresses (Care Compare)

430 Village Ctr Dr
Burr Ridge, IL 60527-4513
Phone (630) 532-5821

9629 Southwest Hwy
Oak Lawn, IL 60453-2863
Phone (630) 532-5821

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Osteoporosis Obesity Inc Endocrinology, Diabetes & Metabolism CurrentSince Jun 2, 2010 Accepting new patients

Locations

430 Village Center Dr
Burr Ridge, IL 60527
Phone (630) 325-4324

1200 S York St
Ste 3150
Elmhurst, IL 60126
Phone (331) 221-9003

1835 N 19th Ave
Ste 206
Melrose Park, IL 60160
Phone (708) 345-2211

9629 Southwest Hwy
Oak Lawn, IL 60453
Phone (630) 532-5821

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHEEBA/Endpoint/JHEEBA

Organizations & group practices 1

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 7

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": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1114120722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 BROADWAY ST",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-345-2211",
            "fax_number": "708-345-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BROADWAY ST",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-345-2211",
            "fax_number": "708-345-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TERRI",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036118965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.