Individual provider Active NPI

Cereesa E Longest, MD

  • Ophthalmology Physician
  • Arlington Heights, IL
National Provider Identifier
1467438341
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036090336 Issued in IL
Practice address
1100 W Central Rd
Suite 205
Arlington Heights, IL 60005-2402
Phone
(847) 253-4040
Fax
(847) 253-3028
NPI assigned
Dec 21, 2005
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036090336 IL Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 036090336 IL

Addresses

Primary practice location

1100 W Central Rd
Suite 205
Arlington Heights, IL 60005-2402

Mailing address

1100 W Central Rd
Suite 205
Arlington Heights, IL 60005-2402
Phone (847) 253-4040

Other identifiers 2

IdentifierTypeStateIssuer
01621679OtherILBCBS OF IL
036090336MedicaidIL

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
I20090408000155 IL Practitioner - Ophthalmology 0345397303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Associates in Ophthalmology LLCGroup PAC ID 5294740320, 9 clinicians

Practice addresses (Care Compare)

1100 W Central Rd
Suite 205
Arlington HTS, IL 60005-2465
Phone (847) 253-4040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.72 of 100Reported as group
Quality
90.12
Promoting interoperability
100
Improvement activities
40
Cost
78.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036090336ILMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cereesa E. Longest MD SC Ophthalmology Current Accepting new patients
Suburban Associates in Ophthalmology LLC Ophthalmology PastSince Jun 27, 2012 Accepting new patients
Suburban Associates in Ophthalmology LLC Ophthalmology PastSince Jun 27, 2012 Accepting new patients

Locations

1100 W Central Rd
Ste 205
Arlington Hts, IL 60005
Phone (847) 253-4040

Interoperability endpoints

  • Direct secure messaging: cereesa.longest.1@380.direct.athenahealth.com
  • Direct secure messaging: clongest@saoeyes.emadirect.md

Organizations & group practices 4

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 1

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1467438341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W CENTRAL RD",
            "address_2": "SUITE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052402",
            "telephone_number": "847-253-4040",
            "fax_number": "847-253-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W CENTRAL RD",
            "address_2": "SUITE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052402",
            "telephone_number": "847-253-4040",
            "fax_number": "847-253-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGEST",
        "first_name": "CEREESA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036090336",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "IL",
            "license": "036090336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01621679",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090336",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.