Individual provider Active NPI

Martin Lindenberger, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1013981463
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-057431 Issued in IL
Practice address
3124 W 59TH St
Chicago, IL 60629-2504
Phone
(773) 776-3422
Fax
(773) 776-3457
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-057431 IL Primary

Addresses

Primary practice location

3124 W 59TH St
Chicago, IL 60629-2504

Mailing address

3719 Downers Dr
Downers Grove, IL 60515-1329
Phone (773) 776-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-057431ILMDInternal Medicine Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11680/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1013981463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 DOWNERS DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151329",
            "telephone_number": "773-776-3422",
            "fax_number": "773-776-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 W 59TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292504",
            "telephone_number": "773-776-3422",
            "fax_number": "773-776-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDENBERGER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-057431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.