Active NPI
David S. Hemmer, M.D.
- Specialist
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036052972
- Practice address
- 2210 Dean St Ste L
St Charles, IL 60175-1059 - Phone
- (630) 461-9833
- Fax
- (847) 741-8587
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036052972 | IL | Primary |
Addresses
Primary practice location
2210 Dean St Ste L
St Charles, IL 60175-1059
Mailing address
2210 Dean St Ste L
St Charles, IL 60175-1059
Phone (630) 461-9833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052972 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhemmer288365@direct.myadvocateaurora.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2210 Dean St
Suite L
Saint Charles, IL 60175-1059
Phone (630) 377-5000
Hospital & facility affiliations
- Advocate Sherman Hospital
- Northwestern Medicine Delnor Community Hospital
- Loyola University Medical Center
- Northwestern Medicine McHenry
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036052972 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Valley Ear, Nose and Throat, Assoc., S.C. | Specialist | Current | Accepting new patients |
Locations
2971 W Algonquin Rd
Ste 102
Algonquin, IL 60102
Phone (847) 854-0005
750 Fletcher Dr
Ste 100
Elgin, IL 60123
Phone (847) 741-3677
1015 Summit St
Elgin, IL 60120
Phone (847) 742-6888
2210 Dean St
Ste L
St Charles, IL 60175
Phone (630) 377-5000
Organizations & group practices 1
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.
-
- Specialist
- St Charles, IL
- NPI 1851326797
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
dba Northwestern Medicine Delnor Community Hospital
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Loyola University Medical Center Cancer Center
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1710984729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 DEAN ST STE L",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751059",
"telephone_number": "630-461-9833",
"fax_number": "847-741-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 DEAN ST STE L",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751059",
"telephone_number": "630-461-9833",
"fax_number": "847-741-8587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMMER",
"first_name": "DAVID",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036052972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036052972",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhemmer288365@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2210 Dean St Ste L",
"city": "St Charles",
"state": "IL",
"country_code": "US",
"postal_code": "601751059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.
- 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.