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Individual provider Active NPI

Beata Styka, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Palos Heights, IL
National Provider Identifier
1275623233
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
036100524 Issued in IL
Practice address
12130 S Harlem Ave
Ste B
Palos Heights, IL 60463-1458
Phone
(708) 448-5500
Fax
(708) 448-5501
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036100524 IL Primary

Addresses

Primary practice location

12130 S Harlem Ave
Ste B
Palos Heights, IL 60463-1458

Mailing address

12130 S Harlem Ave
Ste B
Palos Heights, IL 60463-1458
Phone (708) 448-5500

Other identifiers 1

IdentifierTypeStateIssuer
01637273OtherILBCBS PIN

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
I20050906000565 IL Practitioner - Geriatric Medicine 5294767760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12130 S Harlem Ave
Suite B
Palos Heights, IL 60463-1459
Phone (708) 448-5500

Hospital & facility affiliations

  • Palos Community Hospital Home Health Care Home health agency, Lemont, IL, CCN 147470
  • Medic Home Health Care, LLC Home health agency, Bolingbrook, IL, CCN 148278
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Silver Cross Home Health Home health agency, New Lenox, IL, CCN 147452
  • Providence at Home Home health agency, Tinley Park, IL, CCN 147559
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036100524ILMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ewa V. Hampston MD SC CurrentSince Sep 15, 2009 Accepting new patients
Beata I Styka MD SC Geriatric Medicine CurrentSince Sep 10, 2007 Accepting new patients

Locations

12130 S Harlem Ave
Ste B
Palos Heights, IL 60463
Phone (708) 229-1995

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1275623233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "address_2": "STE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458",
            "telephone_number": "708-448-5500",
            "fax_number": "708-448-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "address_2": "STE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458",
            "telephone_number": "708-448-5500",
            "fax_number": "708-448-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYKA",
        "first_name": "BEATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036100524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "01637273",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.