Nenita Irabagon, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

36091558 Issued in IL

Practice address

6250 S Archer Ave
Chicago, IL 60638-2639

Phone

(773) 581-8400

Fax

(773) 581-9577

NPI assigned

Mar 23, 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 3

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

Specialty

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stickney Public Health DistrictGroup PAC ID 4183798127, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDJIAA
• FHIR API: https://fhir4.healow.com/fhir/r4/EDJIAA/Endpoint/EDJIAA

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.

• Stickney Public Health District

  • State or Local Public Health Clinic/Center
  • Burbank, IL
  • NPI 1578765426
  Medicare reassignment Care Compare group NPD
• Andina & Irabagon, S.C.

  • Cardiovascular Disease Physician
  • Oak Lawn, IL
  • NPI 1972520542

  Specialist

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Loyola University Medical Center

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  Care Compare affiliation
• Loyola University Medical Center

  • General Acute Care Hospital
  • Tinley Park, IL
  • NPI 1427752013
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1104885466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382639",
            "telephone_number": "773-581-8400",
            "fax_number": "773-581-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382639",
            "telephone_number": "773-581-8400",
            "fax_number": "773-581-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRABAGON",
        "first_name": "NENITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36091558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110129812",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ILLINOIS",
            "identifier": "1607717",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091558",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara F Iqbal, MD
• Siddra Iqbal, DDS
• Waheeda F Iqbal
• Ira M Lerner, M.D.S.C.
• Ira S. Halper, M.D. S.C.
• Iraj Delfani M.D. S.C.
• Ivy-Lou Villanueva Iraula, MSN, CNM, WHNP-BC
• Tiffany Irby
• Ireland Anesthesia Management LLC
• Alex Ireland

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.