NPIMap

Individual provider Active NPI

David M Manuel, MD

  • Gastroenterology Physician
  • Dekalb, IL
National Provider Identifier
1376761833
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036120537 Issued in IL
Practice address
3251 Commerce Dr
Suite D
Dekalb, IL 60115-7908
Phone
(630) 561-5566
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036120537 IL Primary

Addresses

Primary practice location

3251 Commerce Dr
Suite D
Dekalb, IL 60115-7908

Mailing address

3251 Commerce Dr
Suite D
Dekalb, IL 60115-7908
Phone (630) 561-5566

Other practice location 1

1830 Mediterranean Dr
Sycamore, IL 60178-3144
Phone (815) 766-3873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000391 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 5092808964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 766-7334

1830 Mediterranean Dr
Sycamore, IL 60178-3144
Phone (815) 766-3873

5 Kish Hospital Dr
Dekalb, IL 60115-9602

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy182
Upper gastrointestinal (GI) endoscopy for acid reflux155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120537ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2021 Accepting new patients
Suburban Gastroenterology LTD Past Accepting new patients
Gastroenterology Center of Nevada, LLP (Desai) Gastroenterology Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1830 Mediterranean Dr
Sycamore, IL 60178
Phone (815) 306-2700

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1376761833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 COMMERCE DR",
            "address_2": "SUITE D",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601157908",
            "telephone_number": "630-561-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 COMMERCE DR",
            "address_2": "SUITE D",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601157908",
            "telephone_number": "630-561-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 Mediterranean Dr",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601783144",
            "country_code": "US",
            "telephone_number": "815-766-3873",
            "fax_number": "815-766-7713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036120537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.