Individual provider Active NPI

Maddalena Sofia Buscemi, DNP, CNM, APRN

  • Advanced Practice Midwife
  • Elmhurst, IL
National Provider Identifier
1346884384
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209.019695 Issued in IL
Practice address
1200 S York St Ste 4120
Elmhurst, IL 60126-5630
Phone
(331) 221-9009
Fax
(331) 221-2750
NPI assigned
Nov 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209.019695 IL Primary

Addresses

Primary practice location

1200 S York St Ste 4120
Elmhurst, IL 60126-5630

Mailing address

4201 Winfield Rd
Centralized Services
Warrenville, IL 60555-4025
Phone (331) 221-6377

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbuscemi247709@direct.edward.org Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223001681 IL Practitioner - Certified Nurse Midwife (CNM) 5294169348 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1200 S York Rd
Suite 1120
Elmhurst, IL 60126-5626
Phone (630) 527-3200

1200 S York St
Elmhurst, IL 60126-5626
Phone (331) 221-6636

2650 Ridge Ave
Evanston, IL 60201-1700

755 N York St
Elmhurst, IL 60126-1607
Phone (331) 221-2900

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209.019695ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Healthcare CurrentSince Jun 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Feb 6, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Dec 15, 2019 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Dec 15, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 6, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Elmhurst Memorial Healthcare Past Accepting new patients
Elmhurst Memorial Hospital PastSince May 1, 2022 Accepting new patients
Wyse Eyecare SC Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7037 S Stony Island Ave
Chicago, IL 60649
Phone (312) 355-5590

8131 S May St
Chicago, IL 60620
Phone (312) 365-5801

820 S Wood St
Chicago, IL 60612
Phone (312) 996-6765

820 S Wood St
#808
Chicago, IL 60612
Phone (312) 996-7006

7732 Solutions Ctr
Chicago, IL 60677

55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472

1200 S York St
Ste 4120
Elmhurst, IL 60126
Phone (331) 221-9009

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

4201 Winfield Rd
Warrenville, IL 60555
Phone (331) 221-8000

Interoperability endpoints

  • Direct secure messaging: mbuscemi247709@direct.edward.org

Organizations & group practices 11

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": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1346884384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WINFIELD RD",
            "address_2": "CENTRALIZED SERVICES",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554025",
            "telephone_number": "331-221-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 4120",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265630",
            "telephone_number": "331-221-9009",
            "fax_number": "331-221-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCEMI",
        "first_name": "MADDALENA",
        "middle_name": "SOFIA",
        "credential": "DNP, CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.019695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbuscemi247709@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 S York St Ste 4120",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.