Individual provider Active NPI

Marc Fallah, MD

  • Gastroenterology Physician
  • Naperville, IL
National Provider Identifier
1750356804
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036108043 Issued in IL
Practice address
100 Spalding Dr
Ste 208
Naperville, IL 60540-6550
Phone
(630) 717-2600
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036108043 IL Primary

Addresses

Primary practice location

100 Spalding Dr
Ste 208
Naperville, IL 60540-6550

Mailing address

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

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfallah294@direct.edward.org
Direct Messaging Address mfallah294@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
I20040223000548 IL Practitioner - Gastroenterology 2163318726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Tufts University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

100 Spalding Dr
Suite 208
Naperville, IL 60540-6552
Phone (630) 717-2600

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jul 21, 2003 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Dupage Medical Group LTD CurrentSince Jul 21, 2003 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
DMG Surgical Center LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

Dept 5777
Carol Stream, IL 60122

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

5207 Main St
Downers Grove, IL 60515
Phone (630) 435-9888

40 S Clay St
Ste 130E
Hinsdale, IL 60521
Phone (630) 654-2500

2725 Technology Dr
Lombard, IL 60148
Phone (630) 348-3300

100 Spalding Dr
Ste 208
Naperville, IL 60540
Phone (630) 527-3213

100 Spalding Dr
Naperville, IL 60540
Phone (630) 357-2900

100 Spalding Dr
Ste 300
Naperville, IL 60540
Phone (630) 510-6929

17495 La Grange Rd
Tinley Park, IL 60487
Phone (708) 226-7000

4575 Weaver Pkwy
Ste 200
Warrenville, IL 60555

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: mfallah294@direct.edward.org

Organizations & group practices 6

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 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1750356804",
    "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": "100 SPALDING DR",
            "address_2": "STE 208",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406550",
            "telephone_number": "630-717-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAH",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036108043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfallah294@direct.edward.org",
            "affiliation": "N",
            "address_1": "100 Spalding Dr",
            "address_2": "Ste 208",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfallah294@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "100 Spalding Dr",
            "address_2": "Ste 208",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.