Organization Active NPI

Biskup & Segui Pediatric Partners, P.C.

  • Pediatrics Physician
  • Frankfort, IL
National Provider Identifier
1124134622
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BISKUP & SEGUI PEDIATRIC PARTNERS, P.C.
Practice address
20325 S Graceland LN
Frankfort, IL 60423-9047
Phone
(815) 469-8700
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Dr. Nicole A Biskup, M.D.
Title
President
Phone
(815) 469-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

20325 S Graceland LN
Frankfort, IL 60423-9047

Mailing address

20325 S Graceland LN
Frankfort, IL 60423-9047
Phone (815) 469-8700

Other identifiers 1

IdentifierTypeStateIssuer
9932383OtherILBCBS #

Other names 1

  • Nicole Biskup M.D., P.C. Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL joan.segui@bsppp.eclinicaldirect.com Direct
CONNECT URL nicole.biskup@bsppp.eclinicaldirect.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1048770Biskup & Segui Pediatric Partners P C20325 S Graceland Lane, Frankfort, IL 60423Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1124134622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 S GRACELAND LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239047",
            "telephone_number": "815-469-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 S GRACELAND LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239047",
            "telephone_number": "815-469-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISKUP & SEGUI PEDIATRIC PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "BISKUP",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-469-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "9932383",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "joan.segui@bsppp.eclinicaldirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20325 S Graceland Ln",
            "city": "Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604239047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicole.biskup@bsppp.eclinicaldirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20325 S Graceland Ln",
            "city": "Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604239047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nicole Biskup M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Nicole Biskup M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.