Active NPI
Paul Steven Menet, MD
- Endocrinology, Diabetes & Metabolism Physician
- Bloomingdale, IL
National Provider Identifier
1821172511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036047587
- Practice address
- 245 S Gary Ave
Suite 202
Bloomingdale, IL 60108-2228 - Phone
- (630) 893-2190
- Fax
- (630) 307-8716
- NPI assigned
- Oct 25, 2006
- Last updated
- Oct 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036047587 | IL | Primary |
Addresses
Primary practice location
245 S Gary Ave
Suite 202
Bloomingdale, IL 60108-2228
Mailing address
245 S Gary Ave
Suite 202
Bloomingdale, IL 60108-2228
Phone (630) 893-2190
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00049565 | Other | IL | MEDICARE RAILROAD |
| 2265655 | Other | IL | CIGNA PROVIDER NUMBER |
| P00843099 | Other | IL | RAILROAD MEDICARE |
| 036047587 | Medicaid | IL | |
| 2232209 | Other | IL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1821172511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 S GARY AVE",
"address_2": "SUITE 202",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082228",
"telephone_number": "630-893-2190",
"fax_number": "630-307-8716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S GARY AVE",
"address_2": "SUITE 202",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082228",
"telephone_number": "630-893-2190",
"fax_number": "630-307-8716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENET",
"first_name": "PAUL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036047587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00049565",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2265655",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00843099",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036047587",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "2232209",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.