Active NPI
Dina Wesam Al-Joburi, D.O.
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036148114
- Practice address
- 1044 N Francisco Ave
Chicago, IL 60622-2743 - Phone
- (773) 292-8200
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO035012 | DC | |
| Emergency Medicine Physician | 207P00000X | OT015977 | PA | |
| Emergency Medicine Physician | 207P00000X | 036148114 | IL | Primary |
Addresses
Primary practice location
1044 N Francisco Ave
Chicago, IL 60622-2743
Mailing address
1600 Chestnut St
Apt 505
Philadelphia, PA 19103-5113
Other practice location 1
245 N 15th St
Philadelphia, PA 19102-1101
Phone (215) 762-2365
Other practice location 2
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (240) 686-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, DC, VA, WV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036148114 | IL | MD | Emergency Medicine Physician |
| OT015977 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| JMH Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Mea Chicago PC | Emergency Medicine | Current | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800
300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600
Interoperability endpoints
- daljoburi869910@direct.hopkinsmedicine.org
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Emergency Medicine Physician
- Ranson, WV
- NPI 1730482449
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1891216354
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1154734192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CHESTNUT ST",
"address_2": "APT 505",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N FRANCISCO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222743",
"telephone_number": "773-292-8200"
}
],
"practiceLocations": [
{
"address_1": "245 N 15th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021101",
"country_code": "US",
"telephone_number": "215-762-2365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5255 Loughboro Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162633",
"country_code": "US",
"telephone_number": "240-686-2300",
"fax_number": "240-686-2330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-JOBURI",
"first_name": "DINA",
"middle_name": "WESAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DC",
"license": "DO035012",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT015977",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036148114",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5255 Loughboro Rd NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200162633",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.