NPIMap

Organization Active NPI

Riaz Baber MD SC

  • Counseling Psychologist
  • Naperville, IL
National Provider Identifier
1295956522
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
RIAZ BABER MD SC
Practice address
1460 Bond St
Suite 130
Naperville, IL 60563-6502
Phone
(630) 859-0120
Fax
(630) 355-7679
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Javier Banuelos
Title
Billing Manager
Phone
(630) 859-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X IL Primary

Addresses

Primary practice location

1460 Bond St
Suite 130
Naperville, IL 60563-6502

Mailing address

1460 Bond St
Suite 130
Naperville, IL 60563-6502
Phone (630) 859-0120

Other identifiers 1

IdentifierTypeStateIssuer
DP6389OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000901 IL Part B Supplier - Clinic/Group Practice 0143129031 Receives reassigned benefits from 4 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1460 Bond St
Ste 130
Naperville, IL 60563
Phone (630) 859-0120

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295956522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BOND ST",
            "address_2": "SUITE 130",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636502",
            "telephone_number": "630-859-0120",
            "fax_number": "630-355-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BOND ST",
            "address_2": "SUITE 130",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636502",
            "telephone_number": "630-859-0120",
            "fax_number": "630-355-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIAZ BABER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-859-0120"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP6389",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.