Active NPI
William L Epperly, MD
- Family Medicine Physician
- Bloomingdale, IL
National Provider Identifier
1477641645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036068080
- Practice address
- 245 S Gary Ave Ste 207
Bloomingdale, IL 60108-2218 - Phone
- (630) 893-9661
- Fax
- (877) 780-5145
- NPI assigned
- Oct 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036068080 | IL | Primary |
Addresses
Primary practice location
245 S Gary Ave Ste 207
Bloomingdale, IL 60108-2218
Mailing address
245 S Gary Ave Ste 207
Bloomingdale, IL 60108-2218
Phone (630) 893-9661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2011 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Doctor's of Dupage, S.C. | Past | Accepting new patients |
Interoperability endpoints
- advancedintegrativehealthcare.williamepperly@139901.advancedmd-direct.com
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.
-
dba Advanced Integrative Healthcare
- Primary Care Clinic/Center
- Bloomingdale, IL
- NPI 1003010554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1477641645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 S GARY AVE STE 207",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082218",
"telephone_number": "630-893-9661",
"fax_number": "877-780-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S GARY AVE STE 207",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082218",
"telephone_number": "630-893-9661",
"fax_number": "877-780-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERLY",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036068080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
- Elevating Resilience Counseling LLC
- Marnella Elizalde, NP-C
- Elmhurst Dental Group, LTD Dba Bloomingdale Dental (Bloomingdale Dental)
- Elmhurst Memorial Healthcare (Elmurst Clinic)
- Empower Psychiatry PLLC
- Ericka Axness, LCSW and Associates, LLC
- Kendra Erven, P.T.
- Luciano Esposito
- Essentially You Counseling and Wellness Services, LLC
- Essentials Dental Practice LLC (Essentials Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.