Individual provider Active NPI

Carey M Bacalar, M.D.

  • Hospitalist Physician
  • Hoffman Estates, IL
National Provider Identifier
1376549394
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036072156 Issued in IL
Practice address
1555 N. Barrington Road
Suite 225
Hoffman Estates, IL 60169
Phone
(847) 882-1121
Fax
(847) 882-0041
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036072156 IL
Hospitalist Physician 208M00000X 036072156 IL Primary

Addresses

Primary practice location

1555 N. Barrington Road
Suite 225
Hoffman Estates, IL 60169

Mailing address

1555 N. Barrington Road
Suite 225
Hoffman Estates, IL 60169
Phone (847) 882-1121

Other identifiers 1

IdentifierTypeStateIssuer
036072156MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fahey Medical Center S.C. Current Accepting new patients
Carey M. Bacalar, M.D., S.C. Obstetrics & Gynecology PastSince Nov 1, 1999 Accepting new patients
American Home Visiting Physicians Past Accepting new patients

Locations

581 E Golf Rd
Des Plaines, IL 60016
Phone (847) 297-2240

Organizations & group practices 3

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1376549394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N. BARRINGTON ROAD",
            "address_2": "SUITE 225",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-882-1121",
            "fax_number": "847-882-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N. BARRINGTON ROAD",
            "address_2": "SUITE 225",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-882-1121",
            "fax_number": "847-882-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACALAR",
        "first_name": "CAREY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036072156",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036072156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072156",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.