Individual provider Active NPI

Vincent John Bufalino, MD

  • Cardiovascular Disease Physician
  • Naperville, IL
National Provider Identifier
1265486690
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036057370 Issued in IL
Practice address
801 S Washington St
4TH Floor
Naperville, IL 60540-7430
Phone
(630) 527-2730
NPI assigned
May 20, 2006
Last updated
Apr 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036057370 IL Primary

Addresses

Primary practice location

801 S Washington St
4TH Floor
Naperville, IL 60540-7430

Mailing address

1919 S Highland Ave
Suite B202 Attn Jan Lewis
Lombard, IL 60148-6153
Phone (630) 268-1102

Other identifiers 2

IdentifierTypeStateIssuer
060015693OtherRAILROAD MEDICARE
036057370MedicaidIL

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
I20040927000801 IL Practitioner - Cardiovascular Disease (Cardiology) 6103738851 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036057370ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Jan 1, 1966 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Jan 1, 1966 Accepting new patients
Midwest Heart Specialists, LTD Cardiovascular Disease PastSince Mar 1, 1988 Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease PastSince Mar 1, 1988 Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease Past Accepting new patients

Locations

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

954 W State St
Sycamore, IL 60178
Phone (815) 895-9144

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: vbufalino221164@direct.myadvocateaurora.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1265486690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S HIGHLAND AVE",
            "address_2": "SUITE B202 ATTN JAN LEWIS",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486153",
            "telephone_number": "630-268-1102",
            "fax_number": "630-268-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST",
            "address_2": "4TH FLOOR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-527-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFALINO",
        "first_name": "VINCENT",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036057370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060015693",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057370",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.