Individual provider Active NPI

Hailey Elaine Sibbett, D.O.

  • Internal Medicine Physician
  • Batavia, IL
National Provider Identifier
1306226246
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-147234 Issued in IL
Practice address
2500 W Fabyan Pkwy
Batavia, IL 60510-1572
Phone
(630) 879-2110
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036147234 IL
Internal Medicine Physician 207R00000X 036-147234 IL Primary

Addresses

Primary practice location

2500 W Fabyan Pkwy
Batavia, IL 60510-1572

Mailing address

28594 Network PL
Chicago, IL 60673-1285
Phone (630) 859-6800

Other practice location 1

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700

Other practice location 2

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-4700

Other identifiers 1

IdentifierTypeStateIssuer
036147234MedicaidIL

Other names 1

  • Hailey Elaine Wouters Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address hwouters337411@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, PA, NJ, NY, HI, FL, OH, WI, MI, VA, MO, GA, MA, WA, MN, DE, CO, DC, WY20 enrollments
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 20

Enrollment IDStateProvider typePAC IDDetails
I20181018001734 IL Practitioner - HospitalistPractitioner - Internal Medicine 7517260045 Reassigns benefits to 6 organizations
I20240927000813 TX Practitioner - Internal Medicine 7517260045
I20240927001212 PA Practitioner - Internal Medicine 7517260045
I20240927001447 NJ Practitioner - Internal Medicine 7517260045
I20241001000203 NY Practitioner - Internal Medicine 7517260045
I20241009002622 HI Practitioner - Internal Medicine 7517260045
I20241016002166 FL Practitioner - Internal Medicine 7517260045
I20241016004597 OH Practitioner - Internal Medicine 7517260045
I20241030003669 WI Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20241030003809 MI Practitioner - Internal Medicine 7517260045
I20241112000369 VA Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20241113003344 MO Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20241113003415 GA Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20241114002509 MA Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20241121002805 WA Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20241204002869 MN Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20241220002125 DE Practitioner - Internal Medicine 7517260045
I20250311003693 CO Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20250313002000 DC Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization
I20250320001770 WY Practitioner - Internal Medicine 7517260045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perry Medical Group of Florida PAGroup PAC ID 8729481197, 15 clinicians

Practice addresses (Care Compare)

766 Fox Run Dr
Geneva, IL 60134-2866
Phone (978) 850-3914

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-147234ILMDInternal Medicine Physician
036147234ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Remote Medical PC CurrentSince Jan 8, 2024 Accepting new patients
Central Dupage Physician Group Internal Medicine CurrentSince Oct 17, 2018 Accepting new patients
Perry Medical Group of Florida PA CurrentSince Jan 8, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 17, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Perry Medical Group of New Jersey PA CurrentSince Jan 8, 2024 Accepting new patients
Cloud Health Medical Group, P.a. Internal Medicine Past Accepting new patients

Locations

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

2500 W Fabyan Pkwy
Batavia, IL 60510
Phone (630) 879-2110

Dept 5777
Carol Stream, IL 60122

28594 Network Pl
Chicago, IL 60673

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: hwouters337411@direct.myadvocateaurora.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1306226246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28594 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731285",
            "telephone_number": "630-859-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W FABYAN PKWY",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101572",
            "telephone_number": "630-879-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344200",
            "country_code": "US",
            "telephone_number": "630-933-4700",
            "fax_number": "630-933-4427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-933-4700",
            "fax_number": "630-933-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBBETT",
        "first_name": "HAILEY",
        "middle_name": "ELAINE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036147234",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-147234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036147234",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2500 W Fabyan Pkwy",
            "city": "Batavia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605101572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwouters337411@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2500 W Fabyan Pkwy",
            "city": "Batavia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605101572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "WOUTERS",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.