Active NPI
Ann Bunyan, M.D
- Internal Medicine Physician
- Riverside, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036142467
- Practice address
- 3722 Harlem Ave
Suite LL34
Riverside, IL 60546-2312 - Phone
- (708) 783-6566
- NPI assigned
- May 22, 2014
- Last updated
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036142467 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3722 Harlem Ave
Suite LL34
Riverside, IL 60546-2312
Mailing address
2920 W Berwyn Ave
Apt 1
Chicago, IL 60625-4027
Phone (312) 315-2925
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240
610 S Maple Ave
Suite 4600
Oak Park, IL 60304-2817
Phone (708) 660-2240
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Internal Medicine | Current | Accepting new patients |
| Rush Oak Park Physicians Group Adult Medicine | Internal Medicine | Current | Accepting new patients |
Locations
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Chicago, IL 60675
75 Remittance Dr
Dept 1611
Chicago, IL 60675
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240
Interoperability endpoints
- abunyan129292@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.
-
- Adult Medicine Physician
- Oak Park, IL
- NPI 1548531924
Internal Medicine
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496620800000",
"number": "1174935274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 W BERWYN AVE",
"address_2": "APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606254027",
"telephone_number": "312-315-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 HARLEM AVE",
"address_2": "SUITE LL34",
"city": "RIVERSIDE",
"state": "IL",
"postal_code": "605462312",
"telephone_number": "708-783-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNYAN",
"first_name": "ANN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036142467",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.
- 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.