Individual provider Active NPI

Perry L Kamel, MD

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1174522866
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036068967 Issued in IL
Practice address
1944 N Maud Ave
Chicago, IL 60614-4908
Phone
(312) 573-9626
Fax
(312) 573-9636
NPI assigned
Jul 15, 2005
Reactivated
Apr 3, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 036068967 IL Primary

Addresses

Primary practice location

1944 N Maud Ave
Chicago, IL 60614-4908

Mailing address

1944 N Maud Ave
Chicago, IL 60614-4908
Phone (312) 573-9626

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
I20080912000588 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 9739255852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Chicago, IL 60614
Phone (312) 573-9626

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy162
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perry L. Kamel, M.D., S.C. CurrentSince Jul 1, 2007 Accepting new patients

Locations

259 E Erie St
Ste 1600
Chicago, IL 60611

737 N Michigan Ave
Ste 620
Chicago, IL 60611
Phone (312) 573-9626

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1174522866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 N MAUD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144908",
            "telephone_number": "312-573-9626",
            "fax_number": "312-573-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 N MAUD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144908",
            "telephone_number": "312-573-9626",
            "fax_number": "312-573-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEL",
        "first_name": "PERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036068967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.