Active NPI
Alan Wurzelbacher, M.D.
- Internal Medicine Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036124053
- Practice address
- 745 Fletcher Dr Ste 101-102
Elgin, IL 60123-4747 - Phone
- (847) 742-0792
- Fax
- (847) 742-3585
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036124053 | IL | |
| Internal Medicine Physician | 207R00000X | 036124053 | IL | Primary |
Addresses
Primary practice location
745 Fletcher Dr Ste 101-102
Elgin, IL 60123-4747
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
25 N Winfield Rd
Ste 400
Winfield, IL 60190
Phone (630) 456-7178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036124053 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awurzelbacher2358@direct.edward.org | ||
| Direct Messaging Address | awurzelbacher2358@dulyhealthandcare.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ohio State University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200
17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
40 S Clay St
Hinsdale, IL 60521-3257
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
Hospital & facility affiliations
- Residential Home Health
- Residential Home Health
- Advocate Sherman Hospital
- Saint Joseph Hospital-Elgin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036124053 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Elgin Internal Medical Associates, S.C. | Internal Medicine | 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
745 Fletcher Dr
Ste 101102
Elgin, IL 60123
Phone (847) 742-0792
745 Fletcher Dr
Ste 101
Elgin, IL 60123
Phone (847) 695-3168
25 N Winfield Rd
Ste 400
Winfield, IL 60190
Phone (630) 456-7178
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- awurzelbacher2358@dulyhealthandcare.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1265596720
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- Home Health Agency
- Schaumburg, IL
- NPI 1003562679
-
- Home Health Agency
- Lisle, IL
- NPI 1336377365
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1457573347",
"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": "745 FLETCHER DR STE 101-102",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234747",
"telephone_number": "847-742-0792",
"fax_number": "847-742-3585"
}
],
"practiceLocations": [
{
"address_1": "25 N Winfield Rd",
"address_2": "Ste 400",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "IL",
"postal_code": "60190",
"country_code": "US",
"telephone_number": "630-456-7178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WURZELBACHER",
"first_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036124053",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036124053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036124053",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awurzelbacher2358@direct.edward.org",
"affiliation": "N",
"address_1": "25 N Winfield Rd",
"address_2": "Ste 400",
"city": "Winfield",
"state": "IL",
"country_code": "US",
"postal_code": "60190",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awurzelbacher2358@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "25 N Winfield Rd",
"address_2": "Ste 400",
"city": "Winfield",
"state": "IL",
"country_code": "US",
"postal_code": "60190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.