Active NPI
Anna Birn-Forys, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1205949484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036074208
- Practice address
- 5605 W Gunnison St
Chicago, IL 60630-3215 - Phone
- (773) 545-2525
- Fax
- (773) 205-5700
- NPI assigned
- Aug 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036074208 | IL | Primary |
Addresses
Primary practice location
5605 W Gunnison St
Chicago, IL 60630-3215
Mailing address
5605 W Gunnison St
Chicago, IL 60630-3215
Phone (773) 545-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036074208 | Medicaid | IL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050822000285 | IL | Practitioner - Family Practice | 1355314139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Healthcare Partners PLLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- cmc@cmc.ssdirect.aprima.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1366167264
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1205949484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 W GUNNISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606303215",
"telephone_number": "773-545-2525",
"fax_number": "773-205-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 W GUNNISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606303215",
"telephone_number": "773-545-2525",
"fax_number": "773-205-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRN-FORYS",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036074208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036074208",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.