Individual provider Active NPI

James O Draguesku, M.D.

  • Gastroenterology Physician
  • Palos Heights, IL
National Provider Identifier
1225003411
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036085890 Issued in IL
Practice address
12150 S Harlem Ave
Palos Heights, IL 60463-1435
Phone
(708) 361-4778
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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 036085890 IL Primary

Addresses

Primary practice location

12150 S Harlem Ave
Palos Heights, IL 60463-1435

Mailing address

12150 S Harlem Ave
Palos Heights, IL 60463-1435
Phone (708) 361-4778

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
I20090331000084 IL Practitioner - Gastroenterology 9537106158 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085890ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Gastroenterology Group, LLC Gastroenterology CurrentSince Feb 1, 2017 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC 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

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

12150 S Harlem Ave
Palos Heights, IL 60463
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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1225003411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631435",
            "telephone_number": "708-361-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631435",
            "telephone_number": "708-361-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGUESKU",
        "first_name": "JAMES",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036085890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.