Individual provider Active NPI

David Feerst, MD

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1508931767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036069659 Issued in IL
Practice address
605 W Central Rd
#100
Arlington Heights, IL 60005-2377
Phone
(847) 590-8100
Fax
(847) 394-8505
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036069659 IL Primary

Addresses

Primary practice location

605 W Central Rd
#100
Arlington Heights, IL 60005-2377

Mailing address

605 W Central Rd
#100
Arlington Heights, IL 60005-2377
Phone (847) 590-8100

Other identifiers 2

IdentifierTypeStateIssuer
036069659MedicaidIL
31604292OtherILBCBS

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
I20070522000681 IL Practitioner - Internal Medicine 7719084961

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincolna Internal Medicine LTD Internal Medicine Current Accepting new patients
William a Moran MD LLC Internal Medicine Current Accepting new patients

Locations

605 W Central Rd
Ste 100
Arlington Hts, IL 60005
Phone (847) 394-4930

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508931767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL RD",
            "address_2": "#100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052377",
            "telephone_number": "847-590-8100",
            "fax_number": "847-394-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL RD",
            "address_2": "#100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052377",
            "telephone_number": "847-590-8100",
            "fax_number": "847-394-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEERST",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036069659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069659",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31604292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.