Vija Bublys, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036109792 Issued in IL

Practice address

801 S Washington St
Naperville, IL 60540-7430

Phone

(630) 527-5197

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vbublys17109@direct.edward.org

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.

• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  IL, Pediatrics

  Medicare reassignment NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Edward Health Ventures

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1154371185
  NPD (past)
• Edward Health Ventures

  • Psychiatry Physician
  • Plainfield, IL
  • NPI 1225108251
  NPD (past)
• Edward Health Ventures

  • Child & Adolescent Psychiatry Physician
  • Naperville, IL
  • NPI 1245281724
  NPD (past)
• Edward Health Ventures

  • Pediatrics Physician
  • Naperville, IL
  • NPI 1346291838

  Pediatrics

  NPD (past)
• Edward Health Ventures

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1467637264
  NPD (past)
• Edward Health Ventures

  • Psychiatry Physician
  • Naperville, IL
  • NPI 1568413995
  NPD (past)
• Edward Health Ventures

  • Psychiatry Physician
  • Naperville, IL
  • NPI 1992862114
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1104875681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-527-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-527-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBLYS",
        "first_name": "VIJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036109792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115759 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2220936",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toni.caldarazzo@eehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 S Washington St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605407430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony J Bryan, DPT
• Jeanne Bryant
• Lauren Gail Brymer, LCPC, CADC
• Hannah A Brzeczek
• Diane Bubeck, LMFT, RD, LDN, CLT
• Buchar Chiro Naperville, Inc
• William L. Buchar III, D.C.
• Rene' Elizabeth Buchman, M.A., L.C.P.C.
• Emily Buckley
• Ronna Buckun

• All providers in Naperville, IL
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.

Verify at the official NPI Registry.