NPIMap

Individual provider Active NPI

Tumendemberel Byambaa, MD

  • Family Medicine Physician
  • La Grange Highlands, IL
National Provider Identifier
1306322664
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036155941 Issued in IL
Practice address
5201 Willow Springs Rd Ste 160
La Grange Highlands, IL 60525-6558
Phone
(708) 354-0920
NPI assigned
Jul 18, 2018
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036155941 IL Primary

Addresses

Primary practice location

5201 Willow Springs Rd Ste 160
La Grange Highlands, IL 60525-6558

Mailing address

5201 Willow Springs Rd Ste 160
La Grange Highlands, IL 60525-6558
Phone (708) 354-0920

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
I20220817000583 IL Practitioner - Family Practice 2466796297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

396 Remington Blvd
Bolingbrook, IL 60440-4311

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036155941ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Adventist Health Partners, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Locations

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

5201 Willow Springs Rd
Ste 160
La Grange Highlands, IL 60525
Phone (708) 245-8120

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Interoperability endpoints

  • Direct secure messaging: tbyambaa1240865@adventhealth.direct-ci.com
  • Direct secure messaging: tbyambaa139802@direct.luhs.org

Organizations & group practices 5

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 8

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1306322664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD STE 160",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256558",
            "telephone_number": "708-354-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD STE 160",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256558",
            "telephone_number": "708-354-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYAMBAA",
        "first_name": "TUMENDEMBEREL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036155941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Highlands, IL

Sources for this page

Verify at the official NPI Registry.