Individual provider Active NPI

Jeffrey H Bohmer, M.D.

  • Emergency Medicine Physician
  • Geneva, IL
National Provider Identifier
1609951979
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036110234 Issued in IL
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

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
451530938OtherILBLUE SHIELD
036100234 1MedicaidIL
P00134219OtherILRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000723 IL Practitioner - Emergency Medicine 6204807308 Reassigns benefits to 5 organizations

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
Central Dupage Emergency Physicians PCGroup PAC ID 5597763706, 37 clinicians

Practice addresses (Care Compare)

25 N Winfield Rd
Winfield, IL 60190-1222
Phone (630) 933-2640

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110234ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2025 Accepting new patients
Innovative Platinum Care, SC CurrentSince Oct 5, 2020 Accepting new patients
Central Dupage Emergency Physicians, PC Emergency Medicine CurrentSince Apr 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.