Individual provider Active NPI

Carmelita J Colbert, MD

  • Rheumatology Physician
  • Westmont, IL
National Provider Identifier
1720206790
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036.117308 Issued in IL
Practice address
801 N Cass Ave
Ste 150
Westmont, IL 60559-1162
Phone
(630) 268-0200
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.117308 IL
Rheumatology Physician 207RR0500X 036.117308 IL Primary

Addresses

Primary practice location

801 N Cass Ave
Ste 150
Westmont, IL 60559-1162

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccolbert13678@dulyhealthandcare.direct-ci.com

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
I20080118000597 IL Practitioner - RheumatologyPractitioner - Internal Medicine 9032290796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Louisville School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

801 N Cass Ave
Westmont, IL 60559-1162
Phone (630) 963-4570

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117308ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Feb 11, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2011 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2011 Accepting new patients
Dupage Medical Group LTD CurrentSince Feb 11, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 16, 2013 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Sep 16, 2013 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

Dept 5777
Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

801 N Cass Ave
Ste 300
Westmont, IL 60559
Phone (630) 628-8889

801 N Cass Ave
Ste 150
Westmont, IL 60559

801 N Cass Ave
Westmont, IL 60559
Phone (630) 456-7455

Organizations & group practices 7

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 2

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1720206790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CASS AVE",
            "address_2": "STE 150",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591162",
            "telephone_number": "630-268-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "CARMELITA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.117308",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036.117308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccolbert13678@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "801 N Cass Ave",
            "address_2": "Ste 150",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.