Individual provider Active NPI

James Ekeberg, M.D.

  • Family Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1891742995
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036051410 Issued in IL
Practice address
1700 W Central Rd
Suite 140
Arlington Heights, IL 60005-2474
Phone
(847) 259-6200
Fax
(847) 259-3540
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036051410 IL Primary

Addresses

Primary practice location

1700 W Central Rd
Suite 140
Arlington Heights, IL 60005-2474

Mailing address

1700 W Central Rd
Suite 140
Arlington Heights, IL 60005-2474
Phone (847) 259-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Physicians LLC Family Medicine CurrentSince Jul 1, 1978 Accepting new patients

Locations

1700 W Central Rd
Ste 140
Arlington Hts, IL 60005
Phone (312) 259-6200

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1891742995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W CENTRAL RD",
            "address_2": "SUITE 140",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052474",
            "telephone_number": "847-259-6200",
            "fax_number": "847-259-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W CENTRAL RD",
            "address_2": "SUITE 140",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052474",
            "telephone_number": "847-259-6200",
            "fax_number": "847-259-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEBERG",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036051410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.