Individual provider Active NPI

Lise A Guay-Bhatia, MD

  • Ophthalmology Physician
  • Downers Grove, IL
National Provider Identifier
1417993197
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036078320 Issued in IL
Practice address
1327 Butterfield Rd
Ste 618
Downers Grove, IL 60515
Phone
(630) 322-8300
NPI assigned
Jun 21, 2006
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036078320 IL Primary

Addresses

Primary practice location

1327 Butterfield Rd
Ste 618
Downers Grove, IL 60515

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0001

Other identifiers 1

IdentifierTypeStateIssuer
0360783202MedicaidIL

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
I20070719000439 IL Practitioner - Ophthalmology 4981705001 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036078320ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2010 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2010 Accepting new patients
Cook County CurrentSince Mar 8, 2020 Accepting new patients
Cook County CurrentSince Mar 8, 2020 Accepting new patients
Larson Eye Center LTD Ophthalmology Past Accepting new patients
Hinsdale Eye Center LLC Ophthalmology PastSince Jan 1, 2016 Accepting new patients
Aurora Eye Clinic LTD Ophthalmology Past Accepting new patients

Locations

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

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

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1327 Butterfield Rd
Ste 618
Downers Grove, IL 60515
Phone (630) 322-8300

808 Rickert Dr
Naperville, IL 60540
Phone (630) 322-8300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1417993197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 BUTTERFIELD RD",
            "address_2": "STE 618",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-322-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAY-BHATIA",
        "first_name": "LISE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036078320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360783202",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.