Individual provider Active NPI

Carol Ann Marinch, M.D.

  • Internal Medicine Physician
  • Deerfield, IL
National Provider Identifier
1326270513
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-073540 Issued in IL
Practice address
350 S Waukegan Rd Ste 200
Deerfield, IL 60015-5239
Phone
(847) 350-7297
Fax
(312) 926-2185
NPI assigned
Aug 20, 2009
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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 036-073540 IL Primary

Addresses

Primary practice location

350 S Waukegan Rd Ste 200
Deerfield, IL 60015-5239

Mailing address

350 S Waukegan Rd Ste 200
Deerfield, IL 60015-5239
Phone (847) 350-7297

Other practice location 1

2501 Compass Rd
Suite 100
Glenview, IL 60026-8000
Phone (847) 901-5200

Other identifiers 1

IdentifierTypeStateIssuer
IL1254004OtherILMEDICARE ID

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
I20091130000098 IL Practitioner - Internal Medicine 5092854398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

350 S Waukegan Rd
Suite 200
Deerfield, IL 60015-5239
Phone (312) 926-6146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-073540ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2020 Accepting new patients
Covenant Medical Group, LLC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Central Dupage Physician Group Internal Medicine Past Accepting new patients
Lake Shore Cardiology Group, LTD. Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

350 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 350-7297

2501 Compass Rd
Ste 100
Glenview, IL 60026
Phone (847) 869-1499

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Organizations & group practices 5

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 4

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1326270513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S WAUKEGAN RD STE 200",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155239",
            "telephone_number": "847-350-7297",
            "fax_number": "312-926-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S WAUKEGAN RD STE 200",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155239",
            "telephone_number": "847-350-7297",
            "fax_number": "312-926-2185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Compass Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268000",
            "country_code": "US",
            "telephone_number": "847-901-5200",
            "fax_number": "847-904-7118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINCH",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-073540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "IL1254004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.