Individual provider Active NPI

Ernest F Dejesus, MD

  • Nephrology Physician
  • Winfield, IL
National Provider Identifier
1295737088
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036.109525 Issued in IL
Practice address
25 Winfield Road
Suite 414
Winfield, IL 60190
Phone
(630) 690-1220
Fax
(630) 690-5323
NPI assigned
Aug 11, 2005
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036.109525 IL Primary

Addresses

Primary practice location

25 Winfield Road
Suite 414
Winfield, IL 60190

Mailing address

120 W 22ND St
Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other practice location 1

302 Randall Rd
Geneva, IL 60134-4209
Phone (630) 690-1220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

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
I20050623000129 IL Practitioner - NephrologyPractitioner - Internal Medicine 1052356763 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio State University College of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Nani-Ihp LLCGroup PAC ID 3375767486, 7 clinicians

Practice addresses (Care Compare)

133 E Brush Hill Rd
Elmhurst, IL 60126-5659
Phone (630) 832-2183

2055 W Army Trail Rd
Addison, IL 60101-1478
Phone (773) 284-9247

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 690-1220

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.109525ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Jul 1, 2005 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Jul 1, 2005 Accepting new patients
Nani-Ihp LLC Nephrology CurrentSince Apr 7, 2014 Accepting new patients
Willow Springs Surgery Center, LLC CurrentSince Mar 1, 2020 Accepting new patients
Nani Vascular North ASC LLC Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Linda Roberts & Associates Inc Past Accepting new patients

Locations

2055 W Army Trail Rd
Ste 110E
Addison, IL 60101
Phone (773) 284-9247

2055 W Army Trail Rd
Ste 110N
Addison, IL 60101
Phone (773) 284-9247

3825 Highland Ave
Ste 4C
Downers Grove, IL 60515
Phone (630) 968-1595

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

133 E Brush Hill Rd
Elmhurst, IL 60126
Phone (630) 279-8771

120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

25 N Winfield Rd
Ste 414
Winfield, IL 60190
Phone (630) 690-1220

Interoperability endpoints

  • Direct secure messaging: edejesus49693@direct.acumenmd.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 7

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1295737088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "address_2": "STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WINFIELD ROAD",
            "address_2": "SUITE 414",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "630-690-1220",
            "fax_number": "630-690-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344209",
            "country_code": "US",
            "telephone_number": "630-690-1220",
            "fax_number": "630-208-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "ERNEST",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.109525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.