Active NPI
William Simon Markey, MD
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1033204706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 36046023
- Practice address
- 3000 N Halsted St Ste 506
Chicago, IL 60657-5194 - Phone
- (312) 944-1247
- Fax
- (312) 944-2188
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 36046023 | IL | Primary |
Addresses
Primary practice location
3000 N Halsted St Ste 506
Chicago, IL 60657-5194
Mailing address
PO Box 146530
Chicago, IL 60614
Phone (312) 944-1247
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021607476 | Other | BC | |
| 036046023 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170724001577 | IL | Order and Referring Only - Gastroenterology | 5395896468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36046023 | IL | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1033204706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 146530",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "312-944-1247",
"fax_number": "312-944-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N HALSTED ST STE 506",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575194",
"telephone_number": "312-944-1247",
"fax_number": "312-944-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKEY",
"first_name": "WILLIAM",
"middle_name": "SIMON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "36046023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "0021607476",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036046023",
"state": "IL"
}
],
"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 May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.