Individual provider Active NPI

Raeda Alshantti, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomingdale, IL
National Provider Identifier
1376092288
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036148192 Issued in IL
Practice address
233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone
(630) 208-6775
Fax
(630) 208-7937
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 036148192 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036148192 IL Primary

Addresses

Primary practice location

233 S Gary Ave
Bloomingdale, IL 60108-2213

Mailing address

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 208-6775

Other practice location 1

1501 S California Ave
Chicago, IL 60608-1732
Phone (773) 542-2000

Other practice location 2

1600 N Randall Rd Ste 225
Elgin, IL 60123-7805
Phone (630) 208-6775

Other practice location 3

7 Blanchard Cir Ste 202
Wheaton, IL 60189-2039
Phone (630) 653-4526

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
I20191017002520 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 5597096883 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 208-6775

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Aug 1, 2025 Accepting new patients
Proctor Health Systems CurrentSince Oct 22, 2019 Accepting new patients
Proctor Health Systems Internal Medicine Current Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Oct 22, 2019 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Methodist Medical Center of Illinois Internal Medicine CurrentSince Oct 22, 2019 Accepting new patients
Mount Sinai Community Foundation Internal Medicine CurrentSince Jul 7, 2024 Accepting new patients
Proctor Health Systems CurrentSince Oct 22, 2019 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jul 7, 2024 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Oct 22, 2019 Accepting new patients
Central Dupage Physician Group Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

233 S Gary Ave
Bloomingdale, IL 60108
Phone (630) 208-6775

Dept 5777
Carol Stream, IL 60122

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1600 N Randall Rd
Ste 225
Elgin, IL 60123
Phone (630) 208-6775

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A1
Peoria, IL 61602

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
#100
Peoria, IL 61636

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

7 Blanchard Cir
Ste 202
Wheaton, IL 60189
Phone (630) 208-6775

Organizations & group practices 12

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 3

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1376092288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S GARY AVE",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082213",
            "telephone_number": "630-208-6775",
            "fax_number": "630-208-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S GARY AVE",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082213",
            "telephone_number": "630-208-6775",
            "fax_number": "630-208-7937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081732",
            "country_code": "US",
            "telephone_number": "773-542-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Randall Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601237805",
            "country_code": "US",
            "telephone_number": "630-208-6775",
            "fax_number": "847-741-7768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Blanchard Cir Ste 202",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601892039",
            "country_code": "US",
            "telephone_number": "630-653-4526",
            "fax_number": "630-208-7937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSHANTTI",
        "first_name": "RAEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036148192",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036148192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.