Diabetes & Endocrine Care LTD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036086922 Issued in IL

Legal business name

DIABETES & ENDOCRINE CARE LTD

Practice address

2955 W 95TH St
Evergreen Park, IL 60805-2409

Phone

(708) 422-0022

Fax

(708) 422-2266

NPI assigned

May 18, 2006

Last updated

Jan 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ammar Adnan Bayrakdar, MDNPI 1841243334

Title

Owner

Phone

(708) 422-0022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ammar Adnan Bayrakdar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Evergreen Park, IL
  • NPI 1841243334
  Medicare reassignment Care Compare group NPD Authorized official
• Abdallah Altarshan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Evergreen Park, IL
  • NPI 1174582811
  Medicare reassignment Care Compare group NPD
• Mini Sara Cherian, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Aurora, IL
  • NPI 1528205259
  Medicare reassignment NPD
• Jyothsna Palla, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hazel Crest, IL
  • NPI 1437397023
  Medicare reassignment NPD
• Tiffany Claire Wakim Ghantous, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Evergreen Park, IL
  • NPI 1396517496
  Medicare reassignment NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1689627168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052409",
            "telephone_number": "708-422-0022",
            "fax_number": "708-422-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052409",
            "telephone_number": "708-422-0022",
            "fax_number": "708-422-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & ENDOCRINE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "BAYRAKDAR",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_middle_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-422-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036086922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Delbusto, M.D.
• Robert Deleon, DPM
• Anthony Joseph Demma, MHS CCC-SLP/L
• Kristofer Dempsey
• Sharif M Denden
• Dialysis Care Center Evergreen Park LLC
• Robin Diaz-Grady, RD, CSR, LDN
• Viviana Andrea Diaz
• Michelle Dignan, APRN
• BJ Anne Lencioco Dilag

• Endocrinology, Diabetes & Metabolism Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.