NPIMap

Individual provider Active NPI

Asad Rafiq, MD

  • Gastroenterology Physician
  • Carol Stream, IL
National Provider Identifier
1295879666
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-113877 Issued in IL
Practice address
630 E North Ave Dept of
Carol Stream, IL 60188-2127
Phone
(630) 458-5300
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 27

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMGC SC 3 clinicians
Adventist Health Partners, Inc. 253 clinicians
Blessing Hospital 414 clinicians

Practice addresses (Care Compare)

1845 W Army Trail Rd
Addison, IL 60101-1901
Phone (630) 629-5100

396 Remington Blvd
Bolingbrook, IL 60440-4311

630 E N Ave
Carol Stream, IL 60188-2127
Phone (630) 458-5300

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

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292
  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Upper gastrointestinal (GI) endoscopy for acid reflux89

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000162 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 5799887170 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36113877ILMDInternal Medicine Physician
036-113877ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FMGC, S.C. Gastroenterology CurrentSince Jul 3, 2024 Accepting new patients
Adventist Health Partners, Inc CurrentSince Oct 4, 2017 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2021 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2021 Accepting new patients
Adventist Health Partners,Inc CurrentSince Oct 4, 2017 Accepting new patients

Locations

1845 W Army Trail Rd
Addison, IL 60101
Phone (630) 458-8855

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

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755

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

1005 Broadway St
Quincy, IL 62301

Interoperability endpoints

  • Direct secure messaging: asad.rafiq.1@380.direct.athenahealth.com
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36113877 IL
Gastroenterology Physician 207RG0100X 036-113877 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

630 E North Ave Dept of
Carol Stream, IL 60188-2127

Mailing address

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

Other practice location 1

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-3251

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
36113877OtherILSTATE LICENSE NUMBER

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address asad.rafiq.1@380.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2021.

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1295879666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E NORTH AVE",
            "address_2": "DEPT OF GI",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60188",
            "telephone_number": "630-458-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E NORTH AVE DEPT OF",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882127",
            "telephone_number": "630-458-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123714",
            "country_code": "US",
            "telephone_number": "312-864-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "ASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36113877",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-113877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "36113877",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asad.rafiq.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "630 E North Ave Dept Of",
            "city": "Carol Stream",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601882127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.