SERGE N. DEBUSTROS MD – NPI #1962402685
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

SERGE DEBUSTROS is an ophthalmologist located in HARVEY, IL. NPPES has assigned the NPI number 1962402685 to SERGE DEBUSTROS on July 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 4 years ago on Feb 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SERGE DEBUSTROS below.

NPI Profile for
SERGE N. DEBUSTROS

NPI Number
1962402685
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SERGE N. DEBUSTROS
Credentials
MD
Primary location
71 W 156TH ST
SUITE 400
HARVEY, IL 60426-4265
Phone: (708) 596-8710 Fax: (708) 596-9820
Mailing address
11516 183RD PL STE SW
ORLAND PARK, IL 60467-9471
Phone: (708) 877-1300 Fax: (708) 596-8719
Sole Proprietor
No
Updated
Certification Date
Feb 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SERGE DEBUSTROS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRRMCIL180015436
OTHERRRMCIN180012658
MEDICAIDIL036081438
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
IL 036081438
207W00000X
- Ophthalmology
IL 036081438

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMR
Content Type
Affiliation
N
Endpoint Location
71 W 156TH ST,
HARVEY, IL 77025-1669