Active NPI
Barry A Rapaport, M.D.
- Internal Medicine Physician
- Deerfield, IL
National Provider Identifier
1114988417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 208D00000X
- Practice address
- 1418 Kenton Rd
Deerfield, IL 60015-2314 - Phone
- (847) 964-9883
- Fax
- (847) 964-9830
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 363553539 | IL | |
| Internal Medicine Physician | 207R00000X | 208D00000X | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036064257 | IL |
Addresses
Primary practice location
1418 Kenton Rd
Deerfield, IL 60015-2314
Mailing address
PO Box 1245
Deerfield, IL 60015-6003
Phone (847) 964-9883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360642571 | Medicaid | IL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208D00000X | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamid Medical Group | Internal Medicine | Current | Accepting new patients |
| Midwest Palliative & Hospice Carecenter | Past | Accepting new patients |
Locations
3825 N Central Ave
Chicago, IL 60634
Phone (773) 282-6188
1105 Milwaukee Ave
Riverwoods, IL 60015
Phone (847) 215-1391
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Riverwoods, IL
- NPI 1689744245
-
- Home Health Agency
- Glenview, IL
- NPI 1811011919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1114988417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1245",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600156003",
"telephone_number": "847-964-9883",
"fax_number": "847-964-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 KENTON RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600152314",
"telephone_number": "847-964-9883",
"fax_number": "847-964-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPAPORT",
"first_name": "BARRY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "363553539",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "208D00000X",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036064257",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360642571",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.