NPIMap

Organization Active NPI

Lumen Cardiovascular Specialists,LTD

  • Cardiovascular Disease Physician
  • Elmhurst, IL
National Provider Identifier
1821432329
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036126138 Issued in IL
Legal business name
LUMEN CARDIOVASCULAR SPECIALISTS,LTD
Practice address
183 N Addison Ave
Suite 170
Elmhurst, IL 60126-2748
Phone
(630) 869-0888
Fax
(630) 834-1017
NPI assigned
Apr 26, 2013
Last updated
Jun 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Asif Serajian, D.O.NPI 1790897049
Title
Physician/Owner
Phone
(630) 869-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036126138 IL Primary

Addresses

Primary practice location

183 N Addison Ave
Suite 170
Elmhurst, IL 60126-2748

Mailing address

183 N Addison Ave
Suite 170
Elmhurst, IL 60126-2748
Phone (630) 869-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130716000744 IL Part B Supplier - Clinic/Group Practice 0446490346 Receives reassigned benefits from 10 practitioners
Practice locations: Elmhurst, IL

National Provider Directory

National Provider Directory

Locations

340 W Butterfield Rd
Ste 3A
Elmhurst, IL 60126
Phone (630) 869-0888

675 W North Ave
Ste 309
Elmhurst, IL 60126

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6901/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1821432329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N ADDISON AVE",
            "address_2": "SUITE 170",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262748",
            "telephone_number": "630-869-0888",
            "fax_number": "630-834-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 N ADDISON AVE",
            "address_2": "SUITE 170",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262748",
            "telephone_number": "630-869-0888",
            "fax_number": "630-834-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN CARDIOVASCULAR SPECIALISTS,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "SERAJIAN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "630-869-0888",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036126138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.