NPIMap

Individual provider Active NPI

Eva Dumasia, M.D.

  • Family Medicine Physician
  • Palos Hills, IL
National Provider Identifier
1588959050
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-128391 Issued in IL
Practice address
7620 W 111TH St
Palos Hills, IL 60465-2302
Phone
(708) 425-9000
Fax
(708) 974-5000
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08949700 NJ
Family Medicine Physician 207Q00000X 01069733A IN
Family Medicine Physician 207Q00000X 036-128391 IL Primary

Addresses

Primary practice location

7620 W 111TH St
Palos Hills, IL 60465-2302

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other identifiers 1

IdentifierTypeStateIssuer
201291340MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address edumasia255986@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111215000903 IL Practitioner - Family Practice 2769657998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

9831 S Western
Chicago, IL 60643
Phone (773) 881-5232

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Palos Community Hospital Home Health Care Home health agency, Lemont, IL, CCN 147470
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-128391ILMDFamily Medicine Physician
01069733AINMDFamily Medicine Physician
25MA08949700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Community Family Wellness Center CurrentSince Aug 1, 2018 Accepting new patients
Beloved Community Family Wellness Center Current Accepting new patients
Beloved Community Family Wellness Center CurrentSince Aug 1, 2018 Accepting new patients
Cogent Healthcare of Illinois, LLC Family Medicine Past Accepting new patients

Locations

326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629

6821 S Halsted St
Chicago, IL 60621
Phone (773) 651-3629

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: edumasia255986@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1588959050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652302",
            "telephone_number": "708-425-9000",
            "fax_number": "708-974-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMASIA",
        "first_name": "EVA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08949700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01069733A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-128391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201291340",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edumasia255986@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7620 W 111th St",
            "city": "Palos Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604652302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7620 W 111th St",
            "city": "Palos Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604652302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

Verify at the official NPI Registry.