Active NPI
John Ghassan, DO
- Pediatrics Physician
- Naperville, IL
National Provider Identifier
1962992883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.155903
- Practice address
- 2940 Rollingridge Rd Ste 300
Naperville, IL 60564-4235 - Phone
- (630) 646-6800
- NPI assigned
- May 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.155903 | IL | Primary |
Addresses
Primary practice location
2940 Rollingridge Rd Ste 300
Naperville, IL 60564-4235
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jghassan231282@direct.edward.org | ||
| Direct Messaging Address | jghassan231282@dulyhealthandcare.direct-ci.com |
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.155903 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Past | Accepting new patients |
Locations
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
5207 Main St
Downers Grove, IL 60515
Phone (630) 435-9888
2940 Rollingridge Rd
Ste 300
Naperville, IL 60564
Phone (630) 646-5800
2940 Rollingridge Rd
Ste 204
Naperville, IL 60564
Interoperability endpoints
- jghassan231282@dulyhealthandcare.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1962992883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 ROLLINGRIDGE RD STE 300",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605644235",
"telephone_number": "630-646-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHASSAN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-16",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.155903",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jghassan231282@direct.edward.org",
"affiliation": "N",
"address_1": "5207 Main St",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605154652",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jghassan231282@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "5207 Main St",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605154652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.