Organization Active NPI

Percival a Bigol MD LTD

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1609914134
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036098893 Issued in IL
Legal business name
PERCIVAL A BIGOL MD LTD
Practice address
2500 W Higgins Rd
Suite 280
Hoffman Estates, IL 60169-7220
Phone
(847) 885-3101
Fax
(847) 885-3108
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Dr. Percival A Bigol, MDNPI 1013043959
Title
Owner
Phone
(847) 885-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 036098893 IL Primary

Addresses

Primary practice location

2500 W Higgins Rd
Suite 280
Hoffman Estates, IL 60169-7220

Mailing address

2500 W Higgins Rd
Suite 280
Hoffman Estates, IL 60169-7220
Phone (847) 885-3101

Other identifiers 3

IdentifierTypeStateIssuer
21623235OtherILBLUE SHIELD
DN3272OtherILRR MEDICARE GROUP PTAN
036098893MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311001380 IL Part B Supplier - Clinic/Group Practice 3173412749 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlett, IL; Elk Grove Village, IL; Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

2500 W Higgins Rd
Ste 280
Hoffman Estates, IL 60169
Phone (847) 885-3101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1609914134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "SUITE 280",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697220",
            "telephone_number": "847-885-3101",
            "fax_number": "847-885-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "SUITE 280",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697220",
            "telephone_number": "847-885-3101",
            "fax_number": "847-885-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCIVAL A BIGOL MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "BIGOL",
        "authorized_official_first_name": "PERCIVAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-885-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "21623235",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PTAN",
            "identifier": "DN3272",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.