Individual provider Active NPI

Erika Raley

  • Allergy & Immunology (Internal Medicine) Physician
  • Bloomingdale, IL
National Provider Identifier
1265964829
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
036157223 Issued in IL
Practice address
303 E Army Trail Rd Ste 403
Bloomingdale, IL 60108-2155
Phone
(630) 894-7083
NPI assigned
Mar 31, 2017
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 036157223 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 403
Bloomingdale, IL 60108-2155

Mailing address

303 E Army Trail Rd Ste 403
Bloomingdale, IL 60108-2155
Phone (630) 894-7083

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
I20230420002526 IL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2668875188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Howard University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-5980

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Sep 5, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 11, 2023 Accepting new patients
Adventist Health Partners, Inc CurrentSince Sep 5, 2023 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients

Locations

303 E Army Trail Rd
Ste 403
Bloomingdale, IL 60108
Phone (630) 894-7083

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

630 E North Ave
Carol Stream, IL 60188
Phone (630) 458-5300

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

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

Hospital & facility affiliations 4

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1265964829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 403",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082155",
            "telephone_number": "630-894-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 403",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082155",
            "telephone_number": "630-894-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "ERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "036157223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.