Active NPI
Elizabeth Schlichting Bockhold, M.D.
- Family Medicine Physician
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036127460
- Practice address
- 135 N Oak St
Hinsdale, IL 60521-3860 - Phone
- (630) 856-8900
- Fax
- (630) 856-8933
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036127460 | IL | Primary |
Addresses
Primary practice location
135 N Oak St
Hinsdale, IL 60521-3860
Mailing address
135 N Oak St
Hinsdale, IL 60521-3860
Phone (630) 856-8900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth.bockhold.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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111007000638 | IL | Practitioner - Family Practice | 6507038858 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Oak St
Hinsdale, IL 60521-3829
Phone (708) 856-9000
135 N Oak St
Hinsdale, IL 60521-3860
Phone (630) 856-8900
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Hinsdale
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Midwest Health | Current | Accepting new patients | |
| Adventist Hinsdale Hospital | Current | Accepting new patients | |
| Adventist Midwest Health | Current | Accepting new patients | |
| Du Page Pathology Associates SC | Current | Accepting new patients |
Locations
1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755
135 N Oak St
Hinsdale, IL 60521
Phone (630) 856-8900
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Interoperability endpoints
- ebockhold1240255@adventhealth.direct-ci.com
- elizabeth.bockhold.1@380.direct.athenahealth.com
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.
-
- Neuroradiology Physician
- Hinsdale, IL
- NPI 1215280763
-
- Pediatrics Physician
- Hinsdale, IL
- NPI 1578746178
-
- Anatomic Pathology & Clinical Pathology Physician
- Hinsdale, IL
- NPI 1003815457
Hospital & facility affiliations 2
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": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1376705368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N OAK ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213860",
"telephone_number": "630-856-8900",
"fax_number": "630-856-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N OAK ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213860",
"telephone_number": "630-856-8900",
"fax_number": "630-856-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCKHOLD",
"first_name": "ELIZABETH",
"middle_name": "SCHLICHTING",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036127460",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth.bockhold.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "135 N Oak St",
"city": "Hinsdale",
"state": "IL",
"country_code": "US",
"postal_code": "605213860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.