Individual provider Active NPI

Jeanne B Novas, MD

  • Specialist
  • Barrington, IL
National Provider Identifier
1235160433
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036073986 Issued in IL
Practice address
111 Lions Dr
Suite 210
Barrington, IL 60010-3182
Phone
(847) 304-0044
Fax
(847) 304-5885
NPI assigned
Jul 5, 2006
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036073986 IL Primary

Addresses

Primary practice location

111 Lions Dr
Suite 210
Barrington, IL 60010-3182

Mailing address

111 Lions Dr
Suite 210
Barrington, IL 60010-3182
Phone (847) 304-0044

Other identifiers 1

IdentifierTypeStateIssuer
0360739864MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036073986ILMDSpecialist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1235160433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LIONS DR",
            "address_2": "SUITE 210",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103182",
            "telephone_number": "847-304-0044",
            "fax_number": "847-304-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LIONS DR",
            "address_2": "SUITE 210",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103182",
            "telephone_number": "847-304-0044",
            "fax_number": "847-304-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAS",
        "first_name": "JEANNE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036073986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360739864",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.