Individual provider Active NPI

David S. Hemmer, M.D.

  • Specialist
  • St Charles, IL
National Provider Identifier
1710984729
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036052972 Issued in IL
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

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036052972MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071005000807 IL Practitioner - Otolaryngology 0648161802 Reassigns benefits to 1 organization

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
Fox Valley Ear, Nose and Throat, Assoc., S.C.Group PAC ID 7517858764, 6 clinicians

Practice addresses (Care Compare)

2210 Dean St
Suite L
Saint Charles, IL 60175-1059
Phone (630) 377-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036052972ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Ear, Nose and Throat, Assoc., S.C. Specialist CurrentSince Apr 1, 2012 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.