Individual provider Active NPI

Noel Camba, M.D.

  • Cardiovascular Disease Physician
  • Palos Park, IL
National Provider Identifier
1083668560
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036077352 Issued in IL
Practice address
13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508
Phone
(708) 478-3600
Fax
(708) 478-3522
NPI assigned
May 20, 2006
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036077352 IL Primary

Addresses

Primary practice location

13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508

Mailing address

13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508
Phone (708) 478-3600

Other identifiers 1

IdentifierTypeStateIssuer
036077352MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ncamba278979@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address ncamba-sm@heartcc.com

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
I20080530000070 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1052481231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Care Centers of Illinois, S.C.Group PAC ID 6103738810, 37 clinicians

Practice addresses (Care Compare)

10260 191St St
Suite 102
Mokena, IL 60448-8802
Phone (708) 478-4224

13011 S 104TH Ave
Suite 100
Palos Park, IL 60464-1508
Phone (708) 274-3278

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-7097

2121 Oneida St
Suite 202
Joliet, IL 60435-6550
Phone (815) 823-8200

3231 Euclid Ave
FL 5
Berwyn, IL 60402-4603
Phone (708) 783-2000

3231 Euclid Ave
Suite 201
Berwyn, IL 60402-3472
Phone (708) 783-2055

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-3005

333 Madison St
Joliet, IL 60435-8200
Phone 81572571333472

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-5509

Heart Care Centers of Illinois SC
13011 S 104TH Avenue Suite 100
Palos Park, IL 60464-1508

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Community Health Services Corporation CurrentSince Aug 25, 2024 Accepting new patients
Adventist Health Partners,Inc CurrentSince Nov 24, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Heart Care Centers of Illinois, SC Cardiovascular Disease CurrentSince Dec 4, 2019 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Aug 25, 2024 Accepting new patients
Adventist Health Partners, Inc CurrentSince Nov 24, 2025 Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients
Specialty Physicians of Illinois, LLC PastSince Mar 5, 2023 Accepting new patients

Locations

3231 Euclid Ave
Fl 5
Berwyn, IL 60402
Phone (708) 783-2000

3231 Euclid Ave
Ste 201
Berwyn, IL 60402
Phone (708) 783-2055

3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600

2338 New St
Blue Island, IL 60406
Phone (708) 577-5060

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

2121 Oneida St
Ste 202
Joliet, IL 60435
Phone (815) 741-4390

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

11560 S Kedzie Ave
Ste 102
Merrionette Park, IL 60803
Phone (708) 972-7520

10260 191st St
Ste 102
Mokena, IL 60448
Phone (708) 478-4224

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

13011 S 104th Ave
Ste 100
Palos Park, IL 60464
Phone (708) 274-3278

Interoperability endpoints

  • Direct secure messaging: ncamba114800@direct.luhs.org
  • Direct secure messaging: ncamba278979@direct.myadvocateaurora.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1083668560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641508",
            "telephone_number": "708-478-3600",
            "fax_number": "708-478-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641508",
            "telephone_number": "708-478-3600",
            "fax_number": "708-478-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBA",
        "first_name": "NOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036077352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077352",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncamba278979@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncamba-sm@heartcc.com",
            "affiliation": "N",
            "address_1": "13011 S 104th Ave Ste 100",
            "city": "Palos Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604641508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

Verify at the official NPI Registry.