Individual provider Active NPI

Joseph Lee Newberg, MD

  • Emergency Medicine Physician
  • La Porte, IN
National Provider Identifier
1013133396
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01070517A Issued in IN
Practice address
1007 Lincolnway
La Porte, IN 46350
Phone
(219) 326-1234
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036103527 IL
Emergency Medicine Physician 207P00000X 01070517A IN Primary

Addresses

Primary practice location

1007 Lincolnway
La Porte, IN 46350

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

1222 S State Street
Chicago, IL 60605-2405
Phone (312) 617-9509

Other identifiers 1

IdentifierTypeStateIssuer
036103527OtherILBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040323000697 IL Practitioner - Family PracticePractitioner - Emergency Medicine 9638060296 Reassigns benefits to 2 organizations
I20040521001014 IN Practitioner - Emergency MedicinePractitioner - Family Practice 9638060296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

17805 Halsted St
Homewood, IL 60430-2011
Phone (773) 702-1000

9660 Wicker Ave
Suite 3
Saint John, IN 46373-9487
Phone (219) 226-2336

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Community Hospital Hospital, Munster, IN, CCN 150125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036103527ILMDEmergency Medicine Physician
01070517AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2013 Accepting new patients
University of Chicago CurrentSince Aug 26, 2023 Accepting new patients
University of Chicago CurrentSince Aug 26, 2023 Accepting new patients
Community Care Network Inc CurrentSince Mar 6, 2016 Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients
Munster Medical Research Foundation, Inc. PastSince Mar 6, 2016 Accepting new patients
Emergency Care Physician Services HP, LTD. Emergency Medicine Past Accepting new patients
Northwestern Memorial Physicians Group Past Accepting new patients
Unimed, LTD Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Dept 5777
Carol Stream, IL 60122

446 E Ontario St
Ste 7100
Chicago, IL 60611
Phone (312) 926-8058

47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700

680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674

111 W Washington St
Ste 1801
Chicago, IL 60602
Phone (312) 726-8800

17805 Halsted St
Homewood, IL 60430
Phone (708) 333-2300

800 N Westmoreland Rd
Ste 201
Lake Forest, IL 60045
Phone (847) 388-0603

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Fl 2
Saint John, IN 46373
Phone (219) 226-2380

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

9660 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 226-2336

7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723

Interoperability endpoints

  • Direct secure messaging: jnewberg277162@uchospital.direct-ci.com

Organizations & group practices 12

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 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1013133396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "46350",
            "telephone_number": "219-326-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 S State Street",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606052405",
            "country_code": "US",
            "telephone_number": "312-617-9509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBERG",
        "first_name": "JOSEPH",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036103527",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01070517A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "036103527",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.