Individual provider Active NPI

Daniel Albert Rostein, M.D.

  • Obstetrics & Gynecology Physician
  • Oak Brook, IL
National Provider Identifier
1528036456
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036089441 Issued in IL
Practice address
2208 Midwest Rd
Suite 102
Oak Brook, IL 60523-1277
Phone
(630) 472-9100
Fax
(630) 472-9101
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036089441 IL Primary

Addresses

Primary practice location

2208 Midwest Rd
Suite 102
Oak Brook, IL 60523-1277

Mailing address

2208 Midwest Rd
Suite 102
Oak Brook, IL 60523-1277
Phone (630) 472-9100

Other identifiers 1

IdentifierTypeStateIssuer
036089441MedicaidIL

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
I20110527000560 IL Practitioner - Obstetrics/Gynecology 5294702254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036089441ILMDObstetrics & Gynecology Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17655/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1528036456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 MIDWEST RD",
            "address_2": "SUITE 102",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231277",
            "telephone_number": "630-472-9100",
            "fax_number": "630-472-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 MIDWEST RD",
            "address_2": "SUITE 102",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231277",
            "telephone_number": "630-472-9100",
            "fax_number": "630-472-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTEIN",
        "first_name": "DANIEL",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036089441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.