NPIMap

Individual provider Active NPI

Adeline Essien, MD

  • Anesthesiology Physician
  • Bolingbrook, IL
National Provider Identifier
1215980289
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036110049 Issued in IL
Practice address
4 River Hills CT
Bolingbrook, IL 60490-2148
Phone
(630) 423-3507
Fax
(630) 462-6959
NPI assigned
May 18, 2006
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036110049 IL Primary
Internal Medicine Physician 207R00000X 036110049 IL
General Practice Physician 208D00000X 036110049 IL

Addresses

Primary practice location

4 River Hills CT
Bolingbrook, IL 60490-2148

Mailing address

4 River Hills CT
Bolingbrook, IL 60490-2148
Phone (630) 423-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000899 IL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Anesthesiology 2961472139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Physicians LLCGroup PAC ID 9133367931, 8 clinicians

Practice addresses (Care Compare)

1200 Roosevelt Rd
Suite 140
Glen Ellyn, IL 60137-7813
Phone (708) 307-2103

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4835SDMDPharmacotherapy Pharmacist
036110049ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Anesthesia Associates, P.C. Anesthesiology Past Accepting new patients
Premier Anesthesia of Danville Anesthesiology Past Accepting new patients
Upstate Medical Anesthesiology Group, Inc. Past Accepting new patients
Illinois Anesthesia Associates PC Anesthesiology Past Accepting new patients

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

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1215980289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVER HILLS CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902148",
            "telephone_number": "630-423-3507",
            "fax_number": "630-462-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIVER HILLS CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902148",
            "telephone_number": "630-423-3507",
            "fax_number": "630-462-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIEN",
        "first_name": "ADELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036110049",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110049",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036110049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.