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HEALTHSTOP SC
NPI 1225684640
Family Medicine in Berwyn, IL

Active since August 12, 2019
3635 S HARLEM AVE, BERWYN, IL 60402(708) 447-9402(708) 447-3246 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Healthstop Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSTOP SC (NPI 1225684640) is a healthcare organization registered as a family medicine in Berwyn, Illinois and active in the NPI registry since August 2019. The organization lists Manohar Jethani, President, as its authorized official.

NPPES Registry Identity

NPI1225684640
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEALTHSTOP SC
Location Address3635 S HARLEM AVEBerwyn, IL 60402-3212
Mailing Address3635 S Harlem AveBerwyn, IL 60402-3212 · (708) 447-9402 · Fax (708) 447-3246
Phone(708) 447-9402
Fax(708) 447-3246
Organization SubpartNo
Authorized OfficialManohar JethaniPresident · (708) 447-9402
Enumeration DateAugust 12, 2019
✔ NPI 1225684640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3635 S HARLEM AVE, Berwyn, IL 60402
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthstop Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Healthstop Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Manohar Jethani, MD
Family Practice
NPI 1366529505
3635 HARLEM AVE
Berwyn, IL 60402
(708) 447-9402
✔ PECOS✔ Accepts MedicareSame address
Ala'a Mashal, FNP
Nurse Practitioner
NPI 1407651854
3635 S HARLEM AVE
Berwyn, IL 60402
(708) 447-9402
✔ PECOS✔ Accepts MedicareSame address
Jennifer Dunlop, APN-CNP
Nurse Practitioner
NPI 1912352089
130 S MAIN ST
Lombard, IL 60148
(708) 369-8053
✔ PECOS✔ Accepts Medicare12 mi
Melissa Toulios, APN
Nurse Practitioner
NPI 1912207036
1032 E OGDEN AVE
Naperville, IL 60563
(708) 334-3471
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthstop Sc's NPI number?

The NPI number for Healthstop Sc is 1225684640. It was assigned to this organization in the NPPES registry on August 12, 2019.

Where is Healthstop Sc located?

Healthstop Sc is located at 3635 S Harlem Ave, Berwyn, IL 60402. The listed phone number is (708) 447-9402.

What is Healthstop Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Healthstop Sc enrolled in Medicare?

Yes. Healthstop Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthstop Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Healthstop Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthstop Sc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Healthstop Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthstop Sc was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.