Organization Active NPI

Five Apples Inpatient Specialists

  • Internal Medicine Physician
  • Bourbonnais, IL
National Provider Identifier
1629152574
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIVE APPLES INPATIENT SPECIALISTS
Doing business as
Terrill Applewhite,M.D.
Practice address
475 Brown Blvd
Ste 103
Bourbonnais, IL 60914
Phone
(815) 937-7962
Fax
(815) 936-8650
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Mr. Terrill Applewhite, M.D.NPI 1205910114
Title
Owner
Phone
(815) 937-7962

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036104924 IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

475 Brown Blvd
Ste 103
Bourbonnais, IL 60914

Mailing address

475 Brown Blvd
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-7962

Other identifiers 1

IdentifierTypeStateIssuer
0136104924MedicaidIL

Other names 1

  • Terrill Applewhite,M.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061228000338 IL Part B Supplier - Clinic/Group Practice 4284634155 Receives reassigned benefits from 1 practitioner
Practice locations: Bourbonnais, IL

National Provider Directory

National Provider Directory

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1629152574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD",
            "address_2": "STE 103",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-937-7962",
            "fax_number": "815-936-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD",
            "address_2": "STE 103",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-937-7962",
            "fax_number": "815-936-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE APPLES INPATIENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "APPLEWHITE",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-937-7962",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036104924",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136104924",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrill Applewhite,M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terrill Applewhite,M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.