Individual provider Active NPI

Edwin Bautista Pascual, M.D.

  • General Practice Physician
  • Schaumburg, IL
National Provider Identifier
1326159104
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036067770 Issued in IL
Practice address
1701 E Woodfield Rd Ste 745
Schaumburg, IL 60173-5132
Phone
(773) 524-9811
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036067770 IL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 036067770 IL Primary

Addresses

Primary practice location

1701 E Woodfield Rd Ste 745
Schaumburg, IL 60173-5132

Mailing address

1331 W Horseshoe CT
Addison, IL 60101-3146
Phone (773) 524-9811

Other identifiers 2

IdentifierTypeStateIssuer
0031601680OtherILBCBS
036067770MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care at Home LLC Current Accepting new patients
Holy Family Medical Clinic Pediatrics Past Accepting new patients
Advance Wound Care Past Accepting new patients
Resilience Therapy Services PastSince Jan 2, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1326159104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W HORSESHOE CT",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013146",
            "telephone_number": "773-524-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 745",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735132",
            "telephone_number": "773-524-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "EDWIN",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036067770",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036067770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031601680",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067770",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.