NPIMap

Individual provider Active NPI

George William Urban, M.D.

  • Internal Medicine Physician
  • Lake in the Hills, IL
National Provider Identifier
1215920699
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036086784 Issued in IL
Practice address
170 North Lakewood Road
Lake in the Hills, IL 60156-5945
Phone
(224) 569-4000
Fax
(224) 569-4001
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036086784 IL Primary

Addresses

Primary practice location

170 North Lakewood Road
Lake in the Hills, IL 60156-5945

Mailing address

170 North Lakewood Road
Lake in the Hills, IL 60156-5945
Phone (224) 569-4000

Other identifiers 3

IdentifierTypeStateIssuer
036086784MedicaidIL
962341112OtherILMEDICARE PTAN
F400258997OtherILMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address george.urban@urb.eclinicaldirectplus.com Direct

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
I20040616000844 IL Practitioner - Internal Medicine 6901702315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urbancare LLCGroup PAC ID 2466752480, 7 clinicians

Practice addresses (Care Compare)

170 N Lakewood Rd
Lake in the Hills, IL 60156-5945

Hospital & facility affiliations

  • Empower Home Health Services Home health agency, West Dundee, IL, CCN 147852
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urbancare, LLC Internal Medicine CurrentSince Mar 19, 2013 Accepting new patients
Ambassador Hospital Care, LLC PastSince Jan 1, 2010 Accepting new patients

Locations

170 N Lakewood Rd
Lk in the Hls, IL 60156
Phone (224) 569-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHCAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHCAD/Endpoint/BHHCAD

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1215920699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "877-686-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "224-569-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036086784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086784",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "962341112",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400258997",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.urban@urb.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "170 North Lakewood Road",
            "city": "Lake in the Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601565945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.