Individual provider Active NPI

Stuart Heimburger, MD

  • Obstetrics & Gynecology Physician
  • Bloomingdale, IL
National Provider Identifier
1376519132
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036090953 Issued in IL
Practice address
471 W Army Trail Rd Ste 103
Bloomingdale, IL 60108-2628
Phone
(630) 980-3366
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036090953 IL Primary

Addresses

Primary practice location

471 W Army Trail Rd Ste 103
Bloomingdale, IL 60108-2628

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 1

IdentifierTypeStateIssuer
036090953MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheimburger916@dulyhealthandcare.direct-ci.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
I20040710000211 IL Practitioner - Obstetrics/Gynecology 9739167370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

471 W Army Trail Rd
Suite 103
Bloomingdale, IL 60108-2628
Phone (630) 980-3366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036090953ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince May 1, 2004 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2004 Accepting new patients
Mobile Anesthesiologists Chicago LLC Past Accepting new patients

Locations

471 W Army Trail Rd
Ste 103
Bloomingdale, IL 60108
Phone (630) 980-3366

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

231 S Gary Ave
Ste 114
Bloomingdale, IL 60108
Phone (312) 665-1626

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

150 E Willow Ave
Ste 200
Wheaton, IL 60187
Phone (630) 665-6200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1376519132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W ARMY TRAIL RD STE 103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082628",
            "telephone_number": "630-980-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMBURGER",
        "first_name": "STUART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036090953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090953",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheimburger916@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "471 W Army Trail Rd Ste 103",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601082628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.