Asif Serajian, DO
Individual provider Active NPI Cardiovascular Disease Physician · Elmhurst, IL
NPI 1790897049 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1790897049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 036126138 (IL)
- Practice address
- 340 W Butterfield Rd Ste 3a
Elmhurst, IL 60126-5043 - Phone
- (630) 869-0888
- Fax
- (630) 834-1017
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Elmhurst Memorial Hospital
Lumen Cardiovascular Specialists, LTD
Adventist Glenoaks Hospital
Practice addresses (Care Compare)
140 -183 Addison
Suite 130
Elmhurst, IL 60126
Phone (331) 221-1000
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000
183 N Addison Ave
Elmhurst, IL 60126-2771
Phone (630) 869-0888
303 W Lake St
Suite 301
Addison, IL 60101-2565
Phone (331) 221-4300
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 312-2000
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Glenoaks
- Elmhurst Memorial Hospital
- Northwestern Medicine Central Dupage Hospital
- Loyola Gottlieb Memorial Hospital
- Osf Little Company of Mary Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.59 of 100
- Quality
- 75.95
- Improvement activities
- 40
- Cost
- 73.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 29 |
| Pacemaker insertion or repair | 18 |
| Varicose vein removal | 11 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101201000288 | IL | Practitioner - Cardiovascular Disease (Cardiology) |
0042232159 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036126138 | IL | MD | Cardiovascular Disease Physician |
| 5101016935 | MI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumen Cardiovascular Specialists,LTD | Cardiovascular Disease | Current |
Accepting new patients |
| Adventist Glenoaks Hospital | Current |
Accepting new patients | |
| Dupage Medical Associates, SC | Cardiovascular Disease | Current | Accepting new patients |
| Adventist Glenoaks Hospital | Cardiovascular Disease | Current |
Accepting new patients |
| Northwest Ohio Emergency Services, Inc. | Past | Accepting new patients | |
| Dupage Medical Group LTD | Past | Accepting new patients | |
| Noes/Paulding, LTD | Past | Accepting new patients |
Locations
340 W Butterfield Rd
Ste 3A
Elmhurst, IL 60126
Phone (630) 869-0888
701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000
Interoperability endpoints
- asif.serajian.1@6901.direct.athenahealth.com
- https://api.platform.athenahealth.com/6901/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 5101016935 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 036126138 | IL | Yes |
Addresses
Primary practice location
340 W Butterfield Rd Ste 3a
Elmhurst, IL 60126-5043
Mailing address
340 W Butterfield Rd Ste 3a
Elmhurst, IL 60126-5043
Phone (630) 869-0888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36073485 | Medicaid | IL |
Other providers in Elmhurst, IL
- Ira Sender
- Evan Sendi
- Marianne Senese
- Senior Caring Services, Inc.
- Emelita D Sequeira
- Paul Dan Serban
- Erin Elizabeth Serrano
- Vanessa Serratos
- Meghan Eileen Seymour
- Amanda Shafer
All providers in Elmhurst, IL · Cardiovascular Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.