NPIMap

Individual provider Active NPI

Sterling Baumwell, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1205807658
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036060613 Issued in IL
Practice address
2701 W 68TH St
Chicago, IL 60629-1813
Phone
(773) 471-5547
NPI assigned
Feb 1, 2006
Last updated
Feb 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036060613 IL Primary

Addresses

Primary practice location

2701 W 68TH St
Chicago, IL 60629-1813

Mailing address

PO Box 5899
Chicago, IL 60680-5899
Phone (314) 989-0300

Other identifiers 1

IdentifierTypeStateIssuer
036060613MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000906 IL Practitioner - Obstetrics/Gynecology 0345219564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Washington University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1106 Neal Ave
Joliet, IL 60433-2548
Phone (815) 727-8670

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036060613ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Will County Community Health Center CurrentSince Apr 12, 2009 Accepting new patients
Access Community Health Network CurrentSince Feb 27, 2010 Accepting new patients
Mount Sinai Community Foundation CurrentSince Apr 1, 2014 Accepting new patients
Access Community Health Network CurrentSince Feb 27, 2010 Accepting new patients
Will County Community Health Center CurrentSince Apr 12, 2009 Accepting new patients
Mount Sinai Community Foundation CurrentSince Apr 1, 2014 Accepting new patients
Access Community Health Network Current Accepting new patients
Holy Cross Hospital Obstetrics & Gynecology Past Accepting new patients
Dr.Charles Clifford Alston SC Obstetrics & Gynecology Past Accepting new patients

Locations

391 Quadrangle Dr
Ste 130
Bolingbrook, IL 60440
Phone (630) 679-7000

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

2701 W 68th St
Fl 3
Chicago, IL 60629
Phone (773) 565-2550

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

1106 Neal Ave
Joliet, IL 60433
Phone (815) 727-5054

501 Ella Ave
Joliet, IL 60433
Phone (815) 727-8480

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sterling.baumwell.p25@direct.willcounty.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1205807658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5899",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606805899",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "773-471-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMWELL",
        "first_name": "STERLING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036060613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060613",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.