NPIMap

Individual provider Active NPI

Raymond Samuel Bianchi, M.D.

  • Family Medicine Physician
  • Lake Zurich, IL
National Provider Identifier
1114916558
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036073025 Issued in IL
Practice address
290 N Rand Rd
Suite a
Lake Zurich, IL 60047-2213
Phone
(847) 438-4028
NPI assigned
Oct 18, 2005
Last updated
Mar 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036073025 IL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000100 IL Practitioner - Family Practice 9931163847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LTDGroup PAC ID 0042274953, 2 clinicians

Practice addresses (Care Compare)

290 N Rand Rd a
Lake Zurich, IL 60047-2213
Phone (847) 438-4028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.32

Merit-based Incentive Payment System (MIPS)

Final score
96.14 of 100Reported as apm
Quality
88.29
Promoting interoperability
98.25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elara Caring IDes Plaines, IL, CCN 141596 Hospice Contracted Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 10

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1114916558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N RAND RD",
            "address_2": "SUITE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472213",
            "telephone_number": "847-438-4028",
            "fax_number": "847-438-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N RAND RD",
            "address_2": "SUITE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472213",
            "telephone_number": "847-438-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "RAYMOND",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036073025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.