Active NPI
Jeffrey H Bohmer, M.D.
- Emergency Medicine Physician
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036110234
- Practice address
- 300 Randall Rd
Emergency Dept
Geneva, IL 60134-4200 - Phone
- (630) 208-4009
- Fax
- (630) 208-0942
- NPI assigned
- Oct 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036110234 | IL | Primary |
Addresses
Primary practice location
300 Randall Rd
Emergency Dept
Geneva, IL 60134-4200
Mailing address
PO Box 9030
Wheeling, IL 60090-9030
Phone (847) 495-1617
Other practice location 1
2635 Church Rd Ste 101
Aurora, IL 60502-8943
Phone (630) 938-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 451530938 | Other | IL | BLUE SHIELD |
| 036100234 1 | Medicaid | IL | |
| P00134219 | Other | IL | RAILROAD MEDICARE |
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
- Emergency Medicine
- Education
- Rush Medical College of Rush University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 N Winfield Rd
Winfield, IL 60190-1222
Phone (630) 933-2640
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110234 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Innovative Platinum Care, SC | Current | Accepting new patients | |
| Central Dupage Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Tri County Anesthesia S.C. | Past | Accepting new patients |
Locations
2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
2400 N Ashland Ave
Chicago, IL 60614
Phone (773) 259-7180
2400 N Ashland Ave
Ste 150
Chicago, IL 60614
Phone (773) 270-5600
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- jeffrey.bohmer.1@13676.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Winfield, IL
- NPI 1619074028
-
- Family Medicine Physician
- Chicago, IL
- NPI 1114397056
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- Emergency Medicine Physician
- Geneva, IL
- NPI 1841395092
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Anesthesiology Physician
- Hopedale, IL
- NPI 1568548592
Hospital & facility affiliations 2
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1609951979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9030",
"city": "WHEELING",
"state": "IL",
"postal_code": "600909030",
"telephone_number": "847-495-1617",
"fax_number": "847-537-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RANDALL RD",
"address_2": "EMERGENCY DEPT",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344200",
"telephone_number": "630-208-4009",
"fax_number": "630-208-0942"
}
],
"practiceLocations": [
{
"address_1": "2635 Church Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605028943",
"country_code": "US",
"telephone_number": "630-938-6000",
"fax_number": "630-315-6919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHMER",
"first_name": "JEFFREY",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036110234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "451530938",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036100234 1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00134219",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.