Individual provider Active NPI

Amir Turayhi, M.D.

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1336200500
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036069374 Issued in IL
Practice address
955 Beisner Rd
Elk Grove Village, IL 60007-3475
Phone
(847) 640-5666
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01034626A IL
Internal Medicine Physician 207R00000X 036069374 IL Primary

Addresses

Primary practice location

955 Beisner Rd
Elk Grove Village, IL 60007-3475

Mailing address

130 N Garland CT Ste 1802
Chicago, IL 60602-4769
Phone (847) 670-8600

Other identifiers 2

IdentifierTypeStateIssuer
31602600OtherILBLUE CROSS BLUE SHIELD
036069374MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amir.turayhi.1@380.direct.athenahealth.com

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
I20080205000225 IL Practitioner - Internal MedicinePractitioner - Other (Physician) 0648352211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

955 Beisner Rd
Elk Grove Village, IL 60007-3475
Phone (847) 952-7200

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal124
Removal of tissue102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01034626AILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC CurrentSince Oct 20, 2009 Accepting new patients

Locations

955 Beisner Rd
Elk Grove Vlg, IL 60007
Phone (847) 640-5666

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1336200500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N GARLAND CT STE 1802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024769",
            "telephone_number": "847-670-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BEISNER RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073475",
            "telephone_number": "847-640-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURAYHI",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "01034626A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036069374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31602600",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069374",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amir.turayhi.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "955 Beisner Rd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.