Individual provider Active NPI

Robin L. Dyer, M.D.

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1528056918
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036099932 Issued in IL
Practice address
2454 E Dempster St
Suite 305
Des Plaines, IL 60016-5315
Phone
(847) 635-5000
Fax
(847) 635-5037
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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 036099932 IL Primary

Addresses

Primary practice location

2454 E Dempster St
Suite 305
Des Plaines, IL 60016-5315

Mailing address

2454 E Dempster St
Suite 305
Des Plaines, IL 60016-5315
Phone (847) 635-5000

Other identifiers 1

IdentifierTypeStateIssuer
036099932MedicaidIL

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
I20051214000221 IL Practitioner - Internal Medicine 1052332392 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099932ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journeycare, Inc Current Accepting new patients
Journeycare, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Journeycare, Inc. CurrentSince Jun 1, 2019 Accepting new patients

Locations

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

Organizations & group practices 3

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1528056918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST",
            "address_2": "SUITE 305",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165315",
            "telephone_number": "847-635-5000",
            "fax_number": "847-635-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST",
            "address_2": "SUITE 305",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165315",
            "telephone_number": "847-635-5000",
            "fax_number": "847-635-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ROBIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099932",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.