Individual provider Active NPI

Debra D Baines, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1295832079
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-090235 Issued in IL
Practice address
2525 S Michigan Ave
Chicago, IL 60616-2333
Phone
(312) 567-2000
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-090235 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
Chicago, IL 60616-2333

Mailing address

75 Remit Dr
Lockbox 3274
Chicago, IL 60675-3274
Phone (866) 916-5259

Other identifiers 1

IdentifierTypeStateIssuer
036090235MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbaines141263@direct.luhs.org Direct LOYOLA UNIVERSITY MEDICAL CENTER

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
I20050401000295 IL Practitioner - Emergency Medicine 2062469059 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

17805 Halsted St
Homewood, IL 60430-2011
Phone (773) 702-1000

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

47 W Polk St
Suite G1
Chicago, IL 60605-2083
Phone (773) 702-1000

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090235ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loretto Hospital CurrentSince Jun 14, 2024 Accepting new patients
University of Chicago CurrentSince Oct 17, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Jul 1, 2021 Accepting new patients
University of Chicago CurrentSince Oct 17, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Unimed, LTD Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

6800 N Frontage Rd
Burr Ridge, IL 60527
Phone (708) 327-1000

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700

355 E Grand Ave
Chicago, IL 60611
Phone (312) 587-3432

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

17805 Halsted St
Homewood, IL 60430
Phone (708) 333-2300

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

7617 North Ave
River Forest, IL 60305
Phone (708) 771-1300

17901 La Grange Rd
Ste 3000
Tinley Park, IL 60487
Phone (708) 327-8300

Interoperability endpoints

  • Direct secure messaging: dbaines282051@uchospital.direct-ci.com

Organizations & group practices 9

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1295832079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR",
            "address_2": "LOCKBOX 3274",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606753274",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINES",
        "first_name": "DEBRA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-090235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090235",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbaines141263@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.