Individual provider Active NPI

Cynthia Vera, M.D.

  • Obstetrics & Gynecology Physician
  • Burr Ridge, IL
National Provider Identifier
1023288479
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Practice address
4 Cascade CT E
Burr Ridge, IL 60527-0714
Phone
(630) 325-0383
NPI assigned
Mar 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X IL Primary

Addresses

Primary practice location

4 Cascade CT E
Burr Ridge, IL 60527-0714

Mailing address

4 Cascade CT E
Burr Ridge, IL 60527-0714
Phone (630) 325-0383

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000748 IL Practitioner - Obstetrics/Gynecology 5294739801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1106 Neal Ave
Joliet, IL 60433-2548
Phone (815) 727-8670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-095403ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Will County Community Health Center CurrentSince Oct 15, 2014 Accepting new patients
Will County Community Health Center CurrentSince Oct 15, 2014 Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients
Ava Women'S Health Associates, S.C. Obstetrics & Gynecology PastSince Sep 1, 2001 Accepting new patients
MSMC Investors, LLC Obstetrics & Gynecology Past Accepting new patients
Blue Island Clinic Company LLC Obstetrics & Gynecology Past Accepting new patients

Locations

391 Quadrangle Dr
Ste 130
Bolingbrook, IL 60440
Phone (630) 679-7000

501 Ella Ave
Joliet, IL 60433
Phone (815) 727-8480

1106 Neal Ave
Joliet, IL 60433
Phone (815) 727-5054

Interoperability endpoints

  • Direct secure messaging: cynthia.vera.p25@direct.willcounty.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204329600000",
    "number": "1023288479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CASCADE CT E",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270714",
            "telephone_number": "630-325-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CASCADE CT E",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270714",
            "telephone_number": "630-325-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "CYNTHIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.