Organization Active NPI

Barijuve Surgical LLC

  • Surgery Physician
  • Des Plaines, IL
National Provider Identifier
1841845047
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIJUVE SURGICAL LLC
Practice address
380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274
Phone
(847) 669-9900
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Sofiane El DjouziNPI 1942474317
Title
President
Phone
(847) 669-9900

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
Surgery Physician 208600000X Primary

Addresses

Primary practice location

380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274

Mailing address

7202 Hudson St
Darien, IL 60561-3762

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://static.practicefusion.com/apps/ehr/index.html#/login

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191018002064 IL Part B Supplier - Clinic/Group Practice 4082945225 Receives reassigned benefits from 1 practitioner
Practice locations: Darien, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1841845047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 HUDSON ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605613762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-669-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIJUVE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "EL DJOUZI",
        "authorized_official_first_name": "SOFIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-669-9900"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.html#/login",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion",
            "address_1": "380 E Northwest Hwy Ste 200",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600162274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.