Active NPI
Dupage Medical Group LTD
Doing business as Premier Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 203001206
- Legal business name
- DUPAGE MEDICAL GROUP LTD
- Doing business as
- Premier Medical Equipment
- Practice address
- 1020 E Ogden Ave
Ste 102
Naperville, IL 60563 - Phone
- (630) 545-7770
- NPI assigned
- Sep 27, 2011
- Last updated
- Oct 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Merrick, MD
- Title
- Chairman of the Board
- Phone
- (630) 790-1221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203001206 | IL | Primary |
Addresses
Primary practice location
1020 E Ogden Ave
Ste 102
Naperville, IL 60563
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other names 1
- Premier Medical Equipment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120111000484 | IL | DME Supplier - Multi-Specialty - Physician | 5496667941 | Practice locations: Naperville, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0901892 | Dupage Medical Group | Certificate of waiver | Mar 16, 2027 |
| 14D1017337 | Dupage Medical Group - Vascular | Certificate of waiver | Sep 22, 2027 |
| 14D2092908 | Dupage Medical Group - Ogden #304 | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
1020 E Ogden Ave
Ste 102
Naperville, IL 60563
Phone (630) 545-7770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Lisle, IL
- NPI 1679541643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1275816027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 E OGDEN AVE",
"address_2": "STE 102",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60563",
"telephone_number": "630-545-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUPAGE MEDICAL GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-27",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "MERRICK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "630-790-1221",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "203001206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Medical Equipment",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Premier Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naperville, IL
- Dupage ENT, LLC (DuPage Children's ENT & Allergy)
- Dupage Health and Physical Therapy Center SC
- Dupage Integrative Medicine SC
- Dupage Medical Group LTD (M & M Orthpaedics a member of Du Page Medical Group)
- Dupage Medical Group LTD
- Dupage Medical Group LTD
- Dupage Medical Group LTD
- Dupage Medical Group LTD
- Dupage Medical Group, LTD
- Dupage Medical Group, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.