Active NPI
Caner R Celeboglu, M.D.,F.A.C.S.
- Surgery Physician
- Streator, IL
National Provider Identifier
1457325060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036058159
- Practice address
- 104 Sixth St
Streator, IL 61364 - Phone
- (815) 673-5533
- Fax
- (815) 673-2554
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036058159 | IL | Primary |
Addresses
Primary practice location
104 Sixth St
Streator, IL 61364
Mailing address
104 Sixth St
PO Box 828
Streator, IL 61364
Phone (815) 673-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058159 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036058159 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1457325060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SIXTH ST",
"address_2": "PO BOX 828",
"city": "STREATOR",
"state": "IL",
"postal_code": "61364",
"telephone_number": "815-673-5533",
"fax_number": "815-673-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SIXTH ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "61364",
"telephone_number": "815-673-5533",
"fax_number": "815-673-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELEBOGLU",
"first_name": "CANER",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "M.D.,F.A.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036058159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058159",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Streator, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.