Individual provider Active NPI

Edward Pont, MD

  • Pediatrics Physician
  • Elmhurst, IL
National Provider Identifier
1396713145
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036092421 Issued in IL
Practice address
135 N Addison Ave
Elmhurst, IL 60126-2857
Phone
(630) 832-3100
Fax
(630) 832-1604
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036092421 IL Primary

Addresses

Primary practice location

135 N Addison Ave
Elmhurst, IL 60126-2857

Mailing address

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

Other practice location 1

152 N Addison Ave
Ste 200
Elmhurst, IL 60126-2810
Phone (630) 832-3100

Other identifiers 1

IdentifierTypeStateIssuer
036092421MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edward.pont@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036092421ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD Past Accepting new patients
Dupage Medical Group LTD PastSince Sep 11, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: epont10251@dulyhealthandcare.direct-ci.com
  • Direct secure messaging: edward.pont@dulyhealthandcare.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1396713145",
    "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": "135 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262857",
            "telephone_number": "630-832-3100",
            "fax_number": "630-832-1604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 N Addison Ave",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262810",
            "country_code": "US",
            "telephone_number": "630-832-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONT",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036092421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092421",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edward.pont@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "152 N Addison Ave",
            "address_2": "Ste 200",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601262810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.