Individual provider Active NPI

Nesreen Hermes, M.D.

  • Family Medicine Physician
  • Oak Park, IL
National Provider Identifier
1346516655
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036136024 Issued in IL
Practice address
7047 North Ave
Oak Park, IL 60302-1015
Phone
(773) 303-7505
Fax
(773) 309-8467
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125061512 IL
Family Medicine Physician 207Q00000X 036136024 IL Primary

Addresses

Primary practice location

7047 North Ave
Oak Park, IL 60302-1015

Mailing address

7047 North Ave
Oak Park, IL 60302-1015
Phone (773) 303-7505

Other identifiers 1

IdentifierTypeStateIssuer
036136024MedicaidIL

Other names 1

  • Dr. Nesreen Ramli Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drnesreen@IWG-IL.direct.office.nextgen.com Health Information Exchange (HIE)

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
I20141105001699 IL Practitioner - Family Practice 3577794312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dynamic Physical Therapy, Inc.Group PAC ID 4284607680, 41 clinicians

Practice addresses (Care Compare)

1049 Lake St
Suite 201
Oak Park, IL 60301-6708

7047 N Ave
Oak Park, IL 60302-1015
Phone (773) 303-7505

Hospital & facility affiliations

  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036136024ILMDFamily Medicine Physician
125061512ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic & Clinical Associates in Dermatology LTD CurrentSince Aug 22, 2014 Accepting new patients
Hermes Health SC Family Medicine CurrentSince Apr 30, 2003 Accepting new patients
Health Alternatives LTD Past Accepting new patients

Locations

7000 W North Ave
Ste 2B
Chicago, IL 60707
Phone (773) 303-7505

7047 North Ave
Oak Park, IL 60302
Phone (708) 383-0300

Interoperability endpoints

  • Direct secure messaging: drnesreen@iwg-il.direct.office.nextgen.com
  • Direct secure messaging: nhermes283820@direct.myadvocateaurora.org

Organizations & group practices 4

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1346516655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021015",
            "telephone_number": "773-303-7505",
            "fax_number": "773-309-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021015",
            "telephone_number": "773-303-7505",
            "fax_number": "773-309-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMES",
        "first_name": "NESREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125061512",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036136024",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnesreen@IWG-IL.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "drnesreen@IWG-IL.direct.office.nextgen.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7047 North Ave",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603021015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NESREEN",
            "last_name": "RAMLI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.