Individual provider Active NPI

Robert M Stein, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1174675862
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036 054787 Issued in IL
Practice address
1725 W Harrison St
Suite 918
Chicago, IL 60612-3841
Phone
(312) 942-2734
Fax
(312) 942-2156
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036 054787 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 918
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 918
Chicago, IL 60612-3841
Phone (312) 942-2734

Other identifiers 1

IdentifierTypeStateIssuer
036054787MedicaidIL

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
I20080402000701 IL Practitioner - Ophthalmology 1052406980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5750 Old Orchard Rd
Suite 500
Skokie, IL 60077-1011
Phone (847) 677-8989

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036 054787ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Ophthalmology Associates, LTD Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
University Ophthalmology Associates, LTD Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients

Locations

75 Remittance Dr
Dept 1283
Chicago, IL 60675

1725 W Harrison St
Ste 918
Chicago, IL 60612
Phone (312) 942-2734

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

Interoperability endpoints

  • Direct secure messaging: rstein4426@direct.rush.rush-health.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1174675862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-2734",
            "fax_number": "312-942-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-2734",
            "fax_number": "312-942-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036 054787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054787",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.