Individual provider Active NPI

Nava Andra Segall, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1295742906
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036099451 Issued in IL
Practice address
4116 N Lincoln Ave
Chicago, IL 60618-3028
Phone
(773) 883-2350
Fax
(773) 883-2351
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036099451 IL Primary

Addresses

Primary practice location

4116 N Lincoln Ave
Chicago, IL 60618-3028

Mailing address

PO Box 10465
Chicago, IL 60610-0465
Phone (773) 883-2350

Other identifiers 1

IdentifierTypeStateIssuer
036099451MedicaidIL

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
I20040702000823 IL Practitioner - Pediatric Medicine 9931186335 Practice locations: Chicago, IL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099451ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nava Segall MD SC Current Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

4116 N Lincoln Ave
Chicago, IL 60618
Phone (773) 883-2350

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1295742906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10465",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606100465",
            "telephone_number": "773-883-2350",
            "fax_number": "773-883-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183028",
            "telephone_number": "773-883-2350",
            "fax_number": "773-883-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGALL",
        "first_name": "NAVA",
        "middle_name": "ANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036099451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099451",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.