Active NPI
Ayman Alzubi, MD
- Gastroenterology Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036111099
- Practice address
- 17850 Kedzie Ave
3200
Hazel Crest, IL 60429-2058 - Phone
- (708) 798-8112
- Fax
- (708) 798-9016
- NPI assigned
- Jul 5, 2005
- Last updated
- Sep 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036111099 | IL | Primary |
Addresses
Primary practice location
17850 Kedzie Ave
3200
Hazel Crest, IL 60429-2058
Mailing address
11500 Stratford Rd
Mokena, IL 60448-2014
Phone (713) 446-2103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036111099 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 S Weber Rd
Romeoville, IL 60446-6528
Phone (815) 773-7732
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 23 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Ucm Medical Group Sub, LLC | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Union Hospital Inc. | Current | Accepting new patients | |
| Christie Clinic, PLLC | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
3101 Fields South Dr
Champaign, IL 61822
Phone (217) 366-1237
27702 Network Pl
Chicago, IL 60673
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
19550 Governors Hwy
Ste 2000
Flossmoor, IL 60422
Phone (708) 272-6606
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6290
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
301 Madison St
Ste 210
Joliet, IL 60435
Phone (224) 299-4222
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
500 S Weber Rd
Romeoville, IL 60446
Phone (630) 856-8620
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
1429 N 6th St
Ofc
Terre Haute, IN 47807
Interoperability endpoints
- aalzubi@unionhealth.cernerdirect.com
- aalzubi411498@carlehiedirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
dba CGH Medical Center-Morrison
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
dba CGH Medical Center-Main Clinic
- Family Medicine Physician
- Sterling, IL
- NPI 1548540636
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1598503922
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1306843339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 STRATFORD RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604482014",
"telephone_number": "713-446-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17850 KEDZIE AVE",
"address_2": "3200",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292058",
"telephone_number": "708-798-8112",
"fax_number": "708-798-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZUBI",
"first_name": "AYMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036111099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036111099",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.