Individual provider Active NPI

Ayman Alzubi, MD

  • Gastroenterology Physician
  • Hazel Crest, IL
National Provider Identifier
1306843339
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036111099 Issued in IL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036111099MedicaidIL

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
I20050110001050 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 1850349499 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

500 S Weber Rd
Romeoville, IL 60446-6528
Phone (815) 773-7732

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Upper gastrointestinal (GI) endoscopy for acid reflux44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Dec 1, 2025 Accepting new patients
Freeport Memorial Hospital CurrentSince Jun 10, 2024 Accepting new patients
CGH Medical Center CurrentSince Aug 16, 2021 Accepting new patients
Ucm Medical Group Sub, LLC CurrentSince Aug 26, 2024 Accepting new patients
CGH Medical Center CurrentSince Aug 16, 2021 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Christie Clinic, PLLC CurrentSince Jun 24, 2024 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

  • Direct secure messaging: aalzubi@unionhealth.cernerdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.