Active NPI
Caleb A Demoss, DO
- Anesthesiology Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036150971
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9169
- Fax
- (708) 216-1249
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Anesthesiology Physician | 207L00000X | 036150971 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9169
Other practice location 1
10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 759-4323
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdemoss87602@direct.luhs.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 759-4323
Hospital & facility affiliations
- Northwestern Medicine McHenry
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Town Square Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Oak Brook Anesthesiologists, LTD. | Anesthesiology | Current | Accepting new patients |
| Huntley Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
Locations
1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000
Dept 5777
Carol Stream, IL 60122
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
1800 McDonough Rd
Ste 100
Hoffman Estates, IL 60192
Phone (630) 928-1103
10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000
10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000
3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Anesthesiology Physician
- Oak Brook, IL
- NPI 1881705937
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1609307552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9169",
"fax_number": "708-216-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9169",
"fax_number": "708-216-1249"
}
],
"practiceLocations": [
{
"address_1": "10400 Haligus Rd",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "601429553",
"country_code": "US",
"telephone_number": "815-759-4323",
"fax_number": "224-654-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMOSS",
"first_name": "CALEB",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036150971",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdemoss87602@direct.luhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.