NPIMap

Individual provider Active NPI

Rahel John, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Downers Grove, IL
National Provider Identifier
1629267612
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036.130376 Issued in IL
Practice address
3815 Highland Ave
Downers Grove, IL 60515-1500
Phone
(813) 476-3705
NPI assigned
Oct 16, 2007
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME106330 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036.130376 IL Primary

Addresses

Primary practice location

3815 Highland Ave
Downers Grove, IL 60515-1500

Mailing address

612 Keystone Ave
River Forest, IL 60305-1614
Phone (813) 476-3705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000323 IL Practitioner - Pathology 0749432136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suleman J. Bangash D.O.S.C.Group PAC ID 8729165006, 17 clinicians
Midwest Diagnostic Pathology, S.C.Group PAC ID 7911924428, 44 clinicians
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1750 N Randall Rd
Suite 120
Elgin, IL 60123-7900
Phone (847) 608-6647

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

820 Springer Dr
Lombard, IL 60148-6413
Phone (708) 634-4602

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106330FLMDAnatomic Pathology & Clinical Pathology Physician
036.130376ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates LTD CurrentSince Aug 23, 2020 Accepting new patients
Dermatology Associates LTD CurrentSince Apr 1, 2024 Accepting new patients
Suleman J. Bangash D.O.S.C. CurrentSince May 7, 2024 Accepting new patients
Pinnacle Dermatology, SC CurrentSince Dec 1, 2025 Accepting new patients
Mohs Surgery &Dermatology PastSince May 7, 2024 Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients
Dermatology and Plastic Surgery Associates, S.C. Past Accepting new patients
North Shore Dermatology, S.C. Past Accepting new patients

Locations

820 E Terra Cotta Ave
Ste 125
Crystal Lake, IL 60014
Phone (815) 455-4434

1750 N Randall Rd
Ste 120
Elgin, IL 60123
Phone (847) 608-6647

1124 Essington Rd
Ste A
Joliet, IL 60435

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

13401 S Ridgeland Ave
Palos Heights, IL 60463
Phone (708) 444-8300

18425 West Creek Dr
Ste F
Tinley Park, IL 60477
Phone (708) 444-8300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEFAA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1629267612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 KEYSTONE AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051614",
            "telephone_number": "813-476-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 HIGHLAND AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151500",
            "telephone_number": "813-476-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "RAHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME106330",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.130376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.