ADVENTIST BOLINGBROOK HOSPITAL
NPI 1477790160
Internal Medicine - Cardiovascular Disease in Bolingbrook, IL
About Adventist Bolingbrook Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVENTIST BOLINGBROOK HOSPITAL (NPI 1477790160), doing business as Adventhealth Bolingbrook, is a healthcare organization registered as a cardiovascular disease in Bolingbrook, Illinois and active in the NPI registry since January 2009. The organization lists Tristan Shaw, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Other Identifiers 1
Group Practice 1
Accepted 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)
Adventist Bolingbrook Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Adventist Bolingbrook Hospital, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 22Source: 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 Adventist Bolingbrook Hospital's NPI number?
The NPI number for Adventist Bolingbrook Hospital is 1477790160. It was assigned to this organization in the NPPES registry on January 16, 2009. The provider is doing business as Adventhealth Bolingbrook, Bolingbrook Hospital Cardiology and Uchicago Medicine Adventhealth Bolingbrook.
Where is Adventist Bolingbrook Hospital located?
Adventist Bolingbrook Hospital is located at 500 Remington Blvd, Bolingbrook, IL 60440. The listed phone number is (630) 312-5000.
What is Adventist Bolingbrook Hospital's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Adventist Bolingbrook Hospital enrolled in Medicare?
Yes. Adventist Bolingbrook Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adventist Bolingbrook Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Adventist Bolingbrook Hospital. 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 Cardiovascular Disease (Cardiology) (12), Interventional Cardiology (6) and Cardiac Electrophysiology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Adventist Bolingbrook Hospital accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Adventist Bolingbrook Hospital 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 Adventist Bolingbrook Hospital was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Adventist Bolingbrook Hospital · NPI 1477790160
Cardiovascular Disease organization in Bolingbrook, Illinois. Organization record, active in the CMS NPPES registry since January 16, 2009.
## Identity
- **NPI:** 1477790160 (Entity type: Organization)
- **Enumerated:** January 16, 2009
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Also known as:** ADVENTHEALTH BOLINGBROOK (Doing Business As); Bolingbrook Hospital Cardiology (Doing Business As); UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tristan Shaw, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 500 REMINGTON BLVD, Bolingbrook, IL 60440-4906
- **Phone:** (630) 312-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (12), Interventional Cardiology (6), Cardiac Electrophysiology (3); [full list](https://npiprofile.com/npi/1477790160/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2025
- **Other identifiers:** Other IL1794 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1477790160) · Data from the CMS NPPES public registry.