Individual provider Active NPI

Yazan M Alia, M.D.

  • Nephrology Physician
  • Downers Grove, IL
National Provider Identifier
1497067615
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036.134418 Issued in IL
Practice address
3825 Highland Ave Ste 210
Downers Grove, IL 60515-1561
Phone
(630) 873-8889
NPI assigned
Jul 2, 2010
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.058451 IL
Nephrology Physician 207RN0300X 036.134418 IL Primary

Addresses

Primary practice location

3825 Highland Ave Ste 210
Downers Grove, IL 60515-1561

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 545-6016

Other practice location 1

1810 South Highland Ave
Suite 220
Lombard, IL 60148
Phone (630) 873-8889

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yalia170956@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161223000019 IL Practitioner - NephrologyPractitioner - Internal Medicine 6709013360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1801 S Highland Ave
Lombard, IL 60148-4932
Phone (630) 627-4722

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.058451ILMDInternal Medicine Physician
036.134418ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Nov 19, 2016 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 19, 2016 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 1, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 1, 2017 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

Dept 5777
Carol Stream, IL 60122

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

251 E Huron St
#16
Chicago, IL 60611

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

3825 Highland Ave
Ste 210
Downers Grove, IL 60515
Phone (630) 435-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1801 S Highland Ave
Lombard, IL 60148
Phone (630) 627-4722

Interoperability endpoints

  • Direct secure messaging: yalia170956@dulyhealthandcare.direct-ci.com

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 4

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1497067615",
    "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": "630-545-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 210",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151561",
            "telephone_number": "630-873-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 South Highland Ave",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "60148",
            "country_code": "US",
            "telephone_number": "630-873-8889",
            "fax_number": "630-873-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIA",
        "first_name": "YAZAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.058451",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.134418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yalia170956@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "3825 Highland Ave Ste 210",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.