NPIMap

Organization Active NPI

American Hip Institute, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Des Plaines, IL
National Provider Identifier
1285101808
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
AMERICAN HIP INSTITUTE, LLC
Practice address
999 E Touhy Ave
Suite 450
Des Plaines, IL 60018
Phone
(630) 920-2317
NPI assigned
Nov 1, 2018
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Dr. Benjamin Gilbert Domb, MDNPI 1154454635
Title
President
Phone
(630) 920-2317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

999 E Touhy Ave
Suite 450
Des Plaines, IL 60018

Mailing address

999 E Touhy Ave Ste 450
Des Plaines, IL 60018-2748
Phone (630) 920-2317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, WI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20190225001800 IL Part B Supplier - Clinic/Group Practice 9335488063 Receives reassigned benefits from 33 practitioners
Practice locations: Des Plaines, IL
O20190403002342 IL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9335488063 Practice locations: Des Plaines, IL
O20200415002744 IN Part B Supplier - Clinic/Group Practice 9335488063 Receives reassigned benefits from 10 practitioners
Practice locations: Saint John, IN
O20210414002664 WI Part B Supplier - Clinic/Group Practice 9335488063 Receives reassigned benefits from 13 practitioners
Practice locations: Pleasant Prairie, WI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5505 N Cumberland Ave
Ste 307
Chicago, IL 60656
Phone (908) 441-8887

75 Remittance Dr
Dept 1501
Chicago, IL 60675

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1285101808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E TOUHY AVE STE 450",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182748",
            "telephone_number": "630-920-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E TOUHY AVE",
            "address_2": "SUITE 450",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60018",
            "telephone_number": "630-920-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HIP INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "DOMB",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-920-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.