Individual provider Active NPI

John D. Rachel, M.D.

  • Otolaryngology Physician
  • Glenview, IL
National Provider Identifier
1861490039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036-104847 Issued in IL
Practice address
2350 Ravine Way
Suite 400
Glenview, IL 60025-7621
Phone
(847) 832-6700
Fax
(847) 832-9430
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036-104847 IL Primary

Addresses

Primary practice location

2350 Ravine Way
Suite 400
Glenview, IL 60025-7621

Mailing address

2350 Ravine Way
Suite 400
Glenview, IL 60025-7621
Phone (847) 832-6700

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
I20040520001206 IL Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 3274524913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2350 Ravine Way
Suite 400
Glenview, IL 60025-7621
Phone (847) 832-6700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of skin lesions38
Skin biopsy104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-104847ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan MD, PLLC CurrentSince Oct 5, 2001 Accepting new patients

Locations

1400 E Golf Rd
#112
Des Plaines, IL 60016
Phone (847) 635-7860

2350 Ravine Way
Ste 400
Glenview, IL 60025
Phone (847) 400-2542

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861490039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 RAVINE WAY",
            "address_2": "SUITE 400",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257621",
            "telephone_number": "847-832-6700",
            "fax_number": "847-832-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 RAVINE WAY",
            "address_2": "SUITE 400",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257621",
            "telephone_number": "847-832-6700",
            "fax_number": "847-832-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHEL",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-104847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.