Individual provider Active NPI

Allen Jerome Rosenbaum, MD

  • Gastroenterology Physician
  • Des Plaines, IL
National Provider Identifier
1508862368
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036060818 Issued in IL
Practice address
900 Rand Rd Ste 120
Des Plaines, IL 60016-2359
Phone
(312) 767-3244
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036060818 IL Primary

Addresses

Primary practice location

900 Rand Rd Ste 120
Des Plaines, IL 60016-2359

Mailing address

1400 S Michigan Ave Apt 1203
Chicago, IL 60605-3720
Phone (312) 767-3244

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
I20120413000618 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 7810158060 Reassigns benefits to 2 organizations
Practice locations: Berwyn, IL

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Digestive Health and Nutrition, PLLCGroup PAC ID 2769830389, 25 clinicians

Practice addresses (Care Compare)

950 N York Rd
Suite 101
Hinsdale, IL 60521-8608
Phone (312) 767-3244

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freeport Regional Health Care Foundation CurrentSince Apr 24, 2023 Accepting new patients
Midwest Digestive Health & Nutrition, PLLC Gastroenterology CurrentSince Oct 13, 2023 Accepting new patients

Locations

900 Rand Rd
Ste 120
Des Plaines, IL 60016
Phone (312) 623-8993

1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410

950 N York Rd
Ste 101
Hinsdale, IL 60521
Phone (312) 767-3244

600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508862368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MICHIGAN AVE APT 1203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053720",
            "telephone_number": "312-767-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 120",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "312-767-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "ALLEN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036060818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.