NPIMap

Individual provider Active NPI

Bino Varghese Oommen, M.D.

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1235315995
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036119123 Issued in IL
Practice address
1328 Webford Ave
Suite 305
Des Plaines, IL 60016-7110
Phone
(773) 301-3921
Fax
(847) 297-6747
NPI assigned
Jan 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036119123 IL
Internal Medicine Physician 207R00000X 036119123 IL Primary

Addresses

Primary practice location

1328 Webford Ave
Suite 305
Des Plaines, IL 60016-7110

Mailing address

724 E Kensington Rd
Arlington Heights, IL 60004-6201
Phone (773) 301-3921

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
I20080828000333 IL Practitioner - Internal Medicine 4688740566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

724 E Kensington Rd
Arlington Heights, IL 60004-6201
Phone (847) 222-9595

Hospital & facility affiliations

  • Chicagoland Home Health Provider, Inc Home health agency, Des Plaines, IL, CCN 147854
  • Ultra Care Home Health, Inc Home health agency, Des Plaines, IL, CCN 148008
  • Entera Healthcare, LTD. Home health agency, Rosemont, IL, CCN 147841
  • Hope Home Health Services, Inc Home health agency, Arlington Heights, IL, CCN 148001
  • American Family Home Health Services LLC Home health agency, Huntley, IL, CCN 148370
  • Meridian Palliative & Hospice Care Services LLC Hospice, Rolling Meadows, IL, CCN 141691
  • St Croix Hospice Lombard Hospice, Lombard, IL, CCN 141624
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as individual
Quality
97.73
Improvement activities
40
Cost
64.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036119123ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Medical Associates LLC Single Specialty CurrentSince Jul 1, 2008 Accepting new patients

Locations

724 E Kensington Rd
Arlington Hts, IL 60004
Phone (847) 222-9595

350 W Kensington Rd
Ste 120
Mt Prospect, IL 60056
Phone (847) 222-9595

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1235315995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E KENSINGTON RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046201",
            "telephone_number": "773-301-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 WEBFORD AVE",
            "address_2": "SUITE 305",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600167110",
            "telephone_number": "773-301-3921",
            "fax_number": "847-297-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "BINO",
        "middle_name": "VARGHESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119123",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036119123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.