Jaafar Bermani, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036052408 Issued in IL

Practice address

129 N 8TH St
East St Louis, IL 62201

Phone

(618) 482-7242

Fax

(314) 810-1399

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

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.

• Sanburg Emergency Group, P.C.

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1992337000
  Medicare reassignment NPD
• Southern Humboldt Community Healthcare District

  • Critical Access Hospital
  • Garberville, CA
  • NPI 1003819376
  Medicare reassignment NPD
• Premier Health Partners

  • Emergency Medicine Physician
  • Blythe, CA
  • NPI 1609170232
  Medicare reassignment
• Carlinville Area Hospital Association

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  NPD
• Southern Humboldt Community Healthcare District

  • Critical Access Hospital
  • Garberville, CA
  • NPI 1508192220
  NPD
• Southern Humboldt Community Healthcare District

  • Optometrist
  • Fortuna, CA
  • NPI 1952198012
  NPD

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1699779033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14351 CLARISSA LN",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802211",
            "telephone_number": "714-731-2030",
            "fax_number": "714-731-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N 8TH ST",
            "city": "EAST ST LOUIS",
            "state": "IL",
            "postal_code": "62201",
            "telephone_number": "618-482-7242",
            "fax_number": "314-810-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMANI",
        "first_name": "JAAFAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A29471",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036052408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052408",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brighter Hope Inc
• C & T Transportation Services Corp
• Call for Help, Inc.
• Children'S Home & Aid Society of Illinois
• Curators of the University of Missouri

• Surgery Physician in East St Louis, IL
• Providers in East St Louis, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.