Individual provider Active NPI

Kathryn Baubly

  • Internal Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1295129310
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036146055 Issued in IL
Practice address
103 N Haven Rd FL 2
Elmhurst, IL 60126-2973
Phone
(630) 595-9988
Fax
(331) 225-2296
NPI assigned
Mar 26, 2015
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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 036146055 IL Primary

Addresses

Primary practice location

103 N Haven Rd FL 2
Elmhurst, IL 60126-2973

Mailing address

103 N Haven Rd FL 2
Elmhurst, IL 60126-2973
Phone (630) 595-9988

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
I20180614000731 IL Practitioner - Internal Medicine 7012212798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paul M. Baubly, M.D. S. C.Group PAC ID 2567436330, 2 clinicians

Practice addresses (Care Compare)

103 N Haven Rd
FL 2
Elmhurst, IL 60126-2973
Phone (630) 595-9988

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036146055ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a Castator MD Past Accepting new patients

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

Hospital & facility affiliations 5

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1295129310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N HAVEN RD FL 2",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262973",
            "telephone_number": "630-595-9988",
            "fax_number": "331-225-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HAVEN RD FL 2",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262973",
            "telephone_number": "630-595-9988",
            "fax_number": "331-225-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUBLY",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036146055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.