Individual provider Active NPI

Anna Birn-Forys, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1205949484
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036074208 Issued in IL
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

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036074208MedicaidIL

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
I20050822000285 IL Practitioner - Family Practice 1355314139

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Healthcare Partners PLLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.