Active NPI
Catherine Maria Suse Havemann, MD
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2024-01250
- Practice address
- 5841 S Maryland Ave # Mc5068
Chicago, IL 60637-1443 - Phone
- (773) 795-2842
- Fax
- (773) 702-3135
- NPI assigned
- Apr 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125.077543 | IL | |
| Emergency Medicine Physician | 207P00000X | 2024-01250 | NC | Primary |
Addresses
Primary practice location
5841 S Maryland Ave # Mc5068
Chicago, IL 60637-1443
Mailing address
170 Manning Dr Ste 1116
Chapel Hill, NC 27514-4221
Phone (919) 843-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Vanderbilt University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4850
Hospital & facility affiliations
- Unc Hospitals
- Novant Health Forsyth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.077543 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Triad Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Kernersville Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Emergency Medicine | Current | Accepting new patients |
| Tanglewood Park Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680
1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
Interoperability endpoints
- chavemann1685506@direct.novanthealth.org
- chavemann1134954@direct.unc.nchie.net
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Kernersville, NC
- NPI 1750852034
-
- Emergency Medicine Physician
- Thomasville, NC
- NPI 1295206464
-
- Emergency Medicine Physician
- Clemmons, NC
- NPI 1093286379
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1285216481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MANNING DR STE 1116",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144221",
"telephone_number": "919-843-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE # MC5068",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-795-2842",
"fax_number": "773-702-3135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVEMANN",
"first_name": "CATHERINE",
"middle_name": "MARIA SUSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125.077543",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2024-01250",
"primary": true
}
],
"identifiers": [],
"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 Sep 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.