Individual provider Active NPI

Eyad Homedi, M.D.

  • Family Medicine Physician
  • Villa Park, IL
National Provider Identifier
1427034073
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36100992 Issued in IL
Practice address
33 S Villa Ave Ste 2
Villa Park, IL 60181-2640
Phone
(630) 832-9000
NPI assigned
Dec 15, 2005
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36100992 IL Primary

Addresses

Primary practice location

33 S Villa Ave Ste 2
Villa Park, IL 60181-2640

Mailing address

170 S Bloomingdale Rd
Suite 200
Bloomingdale, IL 60108-1470
Phone (630) 351-1027

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ehomedi251774@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20041104001152 IL Practitioner - Family Practice 2961464045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villa Medical ArtsGroup PAC ID 9032151329, 3 clinicians

Practice addresses (Care Compare)

33 S Villa Ave
Suite 2
Villa Park, IL 60181-2650
Phone (630) 832-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36100992ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villa Medical Arts Family Medicine CurrentSince Nov 19, 2015 Accepting new patients

Locations

33 S Villa Ave
Villa Park, IL 60181
Phone (630) 832-9000

33 S Villa Ave
Ste 2
Villa Park, IL 60181
Phone (630) 832-9000

Interoperability endpoints

  • Direct secure messaging: ehomedi251774@direct.myadvocateaurora.org

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.

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1427034073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S BLOOMINGDALE RD",
            "address_2": "SUITE 200",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081470",
            "telephone_number": "630-351-1027",
            "fax_number": "630-351-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S VILLA AVE STE 2",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812640",
            "telephone_number": "630-832-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMEDI",
        "first_name": "EYAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36100992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehomedi251774@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "33 S Villa Ave Ste 2",
            "city": "Villa Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601812640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "33 S Villa Ave Ste 2",
            "city": "Villa Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601812640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

Verify at the official NPI Registry.