Individual provider Active NPI

Victoria Cynthia Buchanan, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1174552608
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036090835 Issued in IL
Practice address
500 N Michigan Ave
Suite 450
Chicago, IL 60611-3777
Phone
(312) 276-1212
Fax
(312) 276-1213
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036090835 IL Primary

Addresses

Primary practice location

500 N Michigan Ave
Suite 450
Chicago, IL 60611-3777

Mailing address

500 N Michigan Ave
Ste 2100
Chicago, IL 60611-3773
Phone (312) 276-1212

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000399 IL Practitioner - Internal Medicine 9537163597 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold M. Tatar, MD SC Internal Medicine Current Accepting new patients

Locations

111 N Wabash Ave
Ste 1919
Chicago, IL 60602
Phone (312) 726-9730

111 W Washington St
Ste 1801
Chicago, IL 60602
Phone (312) 726-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1174552608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE",
            "address_2": "STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113773",
            "telephone_number": "312-276-1212",
            "fax_number": "312-276-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE",
            "address_2": "SUITE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113777",
            "telephone_number": "312-276-1212",
            "fax_number": "312-276-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "VICTORIA",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036090835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.