Individual provider Active NPI

Suellyn S Rossman, MD

  • Allergy & Immunology Physician
  • Des Plaines, IL
National Provider Identifier
1790773216
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036042529 Issued in IL
Practice address
2434 E Dempster St Ste 206
Des Plaines, IL 60016-5340
Phone
(847) 297-2474
Fax
(847) 297-2476
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036042529 IL Primary

Addresses

Primary practice location

2434 E Dempster St Ste 206
Des Plaines, IL 60016-5340

Mailing address

2434 E Dempster St Ste 206
Des Plaines, IL 60016-5340
Phone (847) 297-2474

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address srossman252289@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20031203000031 IL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2163327248 Practice locations: Des Plaines, IL

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2434 E Dempster St
Suite 206
Des Plaines, IL 60016-5322

2434 E Dempster St
Suite 206
Des Plaines, IL 60016-5340
Phone (847) 297-2474

2474 E Dempster St
Suite 205
Desplaines, IL 60016-5322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036042529ILMDAllergy & Immunology Physician

Interoperability endpoints

  • Direct secure messaging: srossman252289@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1790773216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 E DEMPSTER ST STE 206",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165340",
            "telephone_number": "847-297-2474",
            "fax_number": "847-297-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 E DEMPSTER ST STE 206",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165340",
            "telephone_number": "847-297-2474",
            "fax_number": "847-297-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "SUELLYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036042529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srossman252289@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2434 E Dempster St Ste 206",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600165340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2434 E Dempster St Ste 206",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600165340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.