Digestive Health Partners LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036088909 Issued in IL

Legal business name

DIGESTIVE HEALTH PARTNERS LLC

Practice address

1890 Silver Cross Blvd Ste 535
New Lenox, IL 60451-9582

Phone

(815) 277-5083

Fax

(779) 216-5588

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Bachar Hamad, MDNPI 1780690040

Title

Physician

Phone

(815) 277-5083

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Digestive Health Associates of Juliet LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: referrals@dhpl.ezdocsdirect.com

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bachar Hamad, M.D.

  • Gastroenterology Physician
  • Joliet, IL
  • NPI 1780690040
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Hamad, DO

  • Gastroenterology Physician
  • Woodridge, IL
  • NPI 1699186890
  Medicare reassignment Care Compare group NPD
• Robyn Strum, FNP-C

  • Family Nurse Practitioner
  • Aurora, IL
  • NPI 1275905283
  Medicare reassignment Care Compare group NPD
• Jayme Mitchell, PA-C

  • Physician Assistant
  • Romeoville, IL
  • NPI 1619622784
  Medicare reassignment Care Compare group
• Fares Hamad, D.O.

  • Gastroenterology Physician
  • Tinley Park, IL
  • NPI 1275831521
  Medicare reassignment NPD

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1861902991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 535",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519582",
            "telephone_number": "815-277-5083",
            "fax_number": "779-216-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 535",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519582",
            "telephone_number": "815-277-5083",
            "fax_number": "779-216-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "HAMAD",
        "authorized_official_first_name": "BACHAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-277-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036088909",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088909",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Health Associates of Juliet LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Gastroenterology Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.