Individual provider Active NPI

Anca Daniela Bulgariu, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1003935644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Practice address
5758 S Maryland Ave
MC 9028
Chicago, IL 60637-1426
Phone
(773) 834-8062
Fax
(773) 834-7852
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X IL Primary

Addresses

Primary practice location

5758 S Maryland Ave
MC 9028
Chicago, IL 60637-1426

Mailing address

5758 S Maryland Ave
MC 9028
Chicago, IL 60637-1426
Phone (773) 834-8062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000183 IL Practitioner - Nurse Practitioner 5698891125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Medical Center SCGroup PAC ID 0143520049, 2 clinicians

Practice addresses (Care Compare)

2002 N Pulaski Rd
Chicago, IL 60639-3767
Phone (773) 897-3311

2004 N Pulaski Rd
Chicago, IL 60639-3767
Phone (773) 772-8876

Hospital & facility affiliations

  • Humboldt Park Health Hospital, Chicago, IL, CCN 140206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-006122ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hermosa Healthcare of Chicago Inc. CurrentSince Dec 3, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anca.bulgariu.1@7619.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7619/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003935644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 S MARYLAND AVE",
            "address_2": "MC 9028",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371426",
            "telephone_number": "773-834-8062",
            "fax_number": "773-834-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 S MARYLAND AVE",
            "address_2": "MC 9028",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371426",
            "telephone_number": "773-834-8062",
            "fax_number": "773-834-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULGARIU",
        "first_name": "ANCA",
        "middle_name": "DANIELA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.