Seraphin Bamouni

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.028850 Issued in IL

Practice address

27401 W Highway 22 Ste 125
Barrington, IL 60010-5934

Phone

(847) 381-3088

Fax

(847) 381-0811

NPI assigned

Nov 1, 2023

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Mobile Wound Care SCGroup PAC ID 4385185032, 5 clinicians

Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians

Integrity Medical and Wounds Group Il RLLPGroup PAC ID 4385170612, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assure Home Healthcare, Inc Home health agency, Libertyville, IL, CCN 147794

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seraphin.bamouni.1@19247.direct.athenahealth.com

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.

• Hansa Medical Groupe PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1386804615
  Medicare reassignment Care Compare group NPD
• Integrity Medical and Wounds Group Il RLLP

  • Specialist
  • Chicago, IL
  • NPI 1689405078

  Family

  Medicare reassignment Care Compare group NPD
• Seraphic Family Care and Wellness LLC

  • Primary Care Clinic/Center
  • Deer Park, IL
  • NPI 1548155765
  Medicare reassignment NPD Authorized official
• Mobile Wound Care SC

  • Orthopaedic Surgery Physician
  • Milwaukee, WI
  • NPI 1649002734
  Medicare reassignment Care Compare group NPD
• Advanced Physicians, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crest Hill, IL
  • NPI 1124075288
  Medicare reassignment NPD
• Great Health Medical Afil, P.C.

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1629847314
  Medicare reassignment NPD
• Hansamssp LLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1013700541
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Lovedale Home Health Care Services Inc

  • Family Medicine Physician
  • Glenview, IL
  • NPI 1184447369
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Assure Home Healthcare Inc

  • Home Health Agency
  • Libertyville, IL
  • NPI 1851353569
  Care Compare affiliation

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1205609229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 W HIGHWAY 22 STE 125",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105934",
            "telephone_number": "847-381-3088",
            "fax_number": "847-381-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMOUNI",
        "first_name": "SERAPHIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia Rhae Baker, M.S., P.T.
• Sarah Anne Baker
• Lauriann Balk, PSYD
• Sharyl E Balkin, M.D.
• Trudy Carol Balogh, MA, M.ED
• Sohaila Banisaid, COTA
• Danielle Banks
• Todd W Bannen, M.D.
• Cheryl Lynn Barcal
• Jessica Leigh Barker

• Family Nurse Practitioner in Barrington, IL
• Providers in Barrington, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.

Verify at the official NPI Registry.