Active NPI
Adventist Health Partners, Inc
Doing business as Hinsdale Internal Medicine
- Internal Medicine Physician
- Westmont, IL
National Provider Identifier
1306889654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC
- Doing business as
- Hinsdale Internal Medicine
- Practice address
- 251 N Cass Ave
Ste 100
Westmont, IL 60559-1744 - Phone
- (630) 963-0309
- Fax
- (630) 963-0319
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ruby Mann
- Title
- Director of Managed Care
- Phone
- (630) 856-6884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
251 N Cass Ave
Ste 100
Westmont, IL 60559-1744
Mailing address
251 N Cass Ave
Ste 100
Westmont, IL 60559-1744
Phone (630) 963-0309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN4921 | Other | IL | RRMC |
Other names 1
- HINSDALE INTERNAL MEDICINE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127000064 | IL | Part B Supplier - Clinic/Group Practice | 0244135762 |
Receives reassigned benefits from 392 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0855761 | Hinsdale Internal Medicine Assoc (D/B/a) | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
251 N Cass Ave
Ste 100
Westmont, IL 60559
Phone (630) 963-0309
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- La Grange Highlands, IL
- NPI 1649384256
-
- Audiologist
- Hinsdale, IL
- NPI 1144471806
-
- Obstetrics & Gynecology Physician
- Grand Rapids, MI
- NPI 1871563627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497398400000",
"number": "1306889654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 N CASS AVE",
"address_2": "STE 100",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591744",
"telephone_number": "630-963-0309",
"fax_number": "630-963-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N CASS AVE",
"address_2": "STE 100",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591744",
"telephone_number": "630-963-0309",
"fax_number": "630-963-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PARTNERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2017-06-14",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "RUBY",
"authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
"authorized_official_telephone_number": "630-856-6884",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CN4921",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HINSDALE INTERNAL MEDICINE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westmont, IL
- Suset Adan
- Mohammad Adawi
- Asna Adil, PHARMD
- Advanced Family Dental & Orthodontics of Westmont
- Adventist Health Partners, Inc (Richard J. Carroll, MD)
- Adventist Midwest Health (Uchicago Medicine Adventhealth Behavioral Health Westmont)
- Adventist Midwest Health (Uchicago Medicine Adventhealth Imaging Westmont)
- Advocate Health and Hospitals Corporation (Advocate Medical Group)
- Afhc Urgent Care PLLC
- Omer B Aguilar, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.