Raymond Samuel Bianchi, M.D.
Individual provider Active NPI Family Medicine Physician · Lake Zurich, IL
NPI 1114916558 · NPPES record last updated Mar 22, 2010
Key facts
- NPI
- 1114916558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036073025 (IL)
- Practice address
- 290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213 - Phone
- (847) 438-4028
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Medical Care LTD
Practice addresses (Care Compare)
290 N Rand Rd a
Lake Zurich, IL 60047-2213
Phone (847) 438-4028
Hospital & facility affiliations
- Care Solutions, Inc
- Advocate Home Health Care Serv
- Elara Caring I
- Advocate Good Shepherd Hospital
- Northwest Community Hospital 1
- Advocate Illinois Masonic Medical Center
- Advocate Condell Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 17.49 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 58.32
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.14 of 100
- Quality
- 88.29
- Promoting interoperability
- 98.25
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 17 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Elara Caring I |
Hospice | Contracted Managing Employee | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050103000100 | IL | Practitioner - Family Practice | 9931163847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036073025 | IL | Yes |
Addresses
Primary practice location
290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213
Mailing address
290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213
Phone (847) 438-4028
Other providers in Lake Zurich, IL
- Barry W Berger
- Glen Berman
- Danielle Jane Bertone
- Frances Anne Sales Bertulfo
- Better Body Boot Camp Inc
- Beth Anne Binder
- Bessy Binkowski
- Keith V Bjorge
- Roger Blank
- Mary R Block
All providers in Lake Zurich, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.