Manfred Werner Raiser, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036-048816 Issued in IL

Practice address

3825 Highland Ave
Suite 203
Downers Grove, IL 60515-1552

Phone

(630) 969-1167

Fax

(630) 969-1297

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BABFBA

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.

• Gastroenterology Services, LTD

  • Gastroenterology Physician
  • Downers Grove, IL
  • NPI 1205966678

  Gastroenterology, IL

  Medicare reassignment NPD
• Gastroenterology Services Endoscopy Suite, LTD

  • Endoscopy Clinic/Center
  • Downers Grove, IL
  • NPI 1083972624
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1306958665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-969-1167",
            "fax_number": "630-969-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 203",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-969-1167",
            "fax_number": "630-969-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISER",
        "first_name": "MANFRED",
        "middle_name": "WERNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-048816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adel B Rahman, DMD
• Syed H Rahman, M.D.
• Motilal Raichand, M D
• Sunil Raichand, M D
• Anjali J Raichura, OD
• Sabrina Rajendran, M.D.
• Mahesh Namburu Raju, MD
• James Rallo
• Ram Wellness, LLC
• Mahesh Ramachandran, M.D.

• Gastroenterology Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.