Individual provider Active NPI

Dominick Vincent Bufalino, M.D.

  • Interventional Cardiology Physician
  • Downers Grove, IL
National Provider Identifier
1831410265
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036132819 Issued in IL
Practice address
3825 Highland Ave Ste 400
Downers Grove, IL 60515-1562
Phone
(630) 719-4799
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036132819 IL
Interventional Cardiology Physician 207RI0011X 036132819 IL Primary

Addresses

Primary practice location

3825 Highland Ave Ste 400
Downers Grove, IL 60515-1562

Mailing address

3825 Highland Ave Ste 400
Downers Grove, IL 60515-1562

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dbufalino235197@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
I20190718001007 IL Practitioner - Cardiovascular Disease (Cardiology) 4183928591 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1508 Aurora Ave
Naperville, IL 60540-6210
Phone (630) 692-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Hospital CurrentSince Nov 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 11, 2019 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Mar 21, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 11, 2019 Accepting new patients
Edward Hospital CurrentSince Aug 17, 2019 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Mar 21, 2020 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Aug 17, 2019 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

3825 Highland Ave
Ste 400
Downers Grove, IL 60515
Phone (630) 719-4799

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

1512 N Naper Blvd
Ste 176
Naperville, IL 60563
Phone (630) 526-4010

1508 Aurora Ave
Naperville, IL 60540
Phone (630) 585-7100

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 8

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 5

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1831410265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 400",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 400",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151562",
            "telephone_number": "630-719-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFALINO",
        "first_name": "DOMINICK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036132819",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036132819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbufalino235197@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3825 Highland Ave Ste 400",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151562",
            "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": "3825 Highland Ave Ste 400",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.