Active NPI
Brian Blumenstein, MD
- Gastroenterology Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036082788
- Practice address
- 9921 Southwest Hwy
Oak Lawn, IL 60453-3767 - Phone
- (708) 425-8616
- Fax
- (708) 425-9468
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036082788 | IL | Primary |
Addresses
Primary practice location
9921 Southwest Hwy
Oak Lawn, IL 60453-3767
Mailing address
9921 Southwest Hwy
Oak Lawn, IL 60453-3767
Phone (708) 425-8616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL1223004 | Other | MEDICARE PTAN | |
| 036082788 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081222000418 | IL | Practitioner - Gastroenterology | 4183786429 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Michigan Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Illinois Gastroenterology Group LLC
Practice addresses (Care Compare)
10754 W 167TH St
Orland Park, IL 60467-5434
Phone (708) 425-9456
10758 W 167TH St
Orland Park, IL 60467-5434
Phone (708) 361-4778
1415 S Arlington Heights Rd
Arlington Heights, IL 60005-3765
Phone (847) 660-7755
18200 La Grange Rd
Tinley Park, IL 60487-7721
Phone (708) 570-2490
745 Fletcher Dr
Suite 202
Elgin, IL 60123-4749
Phone (847) 888-1300
Hospital & facility affiliations
- Osf Little Company of Mary Medical Center
- Advocate Christ Hospital & Medical Center
- Palos Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 127 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Gastroenterology Group, LLC | Gastroenterology | Current | Accepting new patients |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Gastroenterology | Current | Accepting new patients |
Locations
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
20 Tower Ct
Ste F
Gurnee, IL 60031
Phone (847) 662-9420
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
9921 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 425-2552
10758 W 167th St
Orland Park, IL 60467
Phone (708) 361-4778
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
Gastroenterology, IL
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
Hospital
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": "1231977600000",
"number": "1194784645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9921 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533767",
"telephone_number": "708-425-8616",
"fax_number": "708-425-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9921 SOUTHWEST HWY",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533767",
"telephone_number": "708-425-8616",
"fax_number": "708-425-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENSTEIN",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036082788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IL1223004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082788",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.