Individual provider Active NPI

Nicole Ebarvia Lomotan, MD

  • Obstetrics Physician
  • Arlington Heights, IL
National Provider Identifier
1093203036
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
036161540 Issued in IL
Practice address
880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378
Phone
(847) 618-0730
Fax
(847) 618-0799
NPI assigned
Apr 25, 2018
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 036161540 IL Primary

Addresses

Primary practice location

880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378

Mailing address

880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378
Phone (847) 618-0730

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
I20220919000599 IL Practitioner - Obstetrics/Gynecology 5294070512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Community Women Services LLCGroup PAC ID 7214203942, 20 clinicians

Practice addresses (Care Compare)

1051 W Rand Rd
Suite 101
Arlington Heights, IL 60004-2315
Phone (847) 212-3885

1614 W Central Rd
Suite 205
Arlington Heights, IL 60005-2453
Phone (847) 392-9191

519 S Roselle Rd
Suite 301
Schaumburg, IL 60193-2925
Phone (847) 221-4300

800 W Central Rd
Arlington Heights, IL 60005-2349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036161540ILMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Women Services LLC CurrentSince Jun 28, 2024 Accepting new patients
Northwest Community Health Services Inc Current Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 30, 2023 Accepting new patients
Northwest Community Health Services Inc Obstetrics CurrentSince Sep 12, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 30, 2023 Accepting new patients
Northwest Community Healthcare Past Accepting new patients
Greater Family Health Past Accepting new patients

Locations

880 W Central Rd
Ste 6200
Arlington Heights, IL 60005
Phone (847) 618-0730

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1051 W Rand Rd
Ste 101
Arlington Hts, IL 60004
Phone (847) 212-3885

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

29651 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

519 S Roselle Rd
Ste 301
Schaumburg, IL 60193
Phone (847) 212-3885

Interoperability endpoints

  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4
  • Direct secure messaging: nicole.lomotan.p1@direct.gefcc.nextgenshare.com

Organizations & group practices 7

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 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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1093203036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 6200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052378",
            "telephone_number": "847-618-0730",
            "fax_number": "847-618-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 6200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052378",
            "telephone_number": "847-618-0730",
            "fax_number": "847-618-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMOTAN",
        "first_name": "NICOLE",
        "middle_name": "EBARVIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036161540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.